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Vape causes a characteristic lung injury pattern on CT scans

 


Lung damage from arc plasma deposition and e-cigarette shows a suggestive pattern on the CT scan and can help the doctor make an accurate diagnosis.

Research published in journals Radiology: Cardiothoracic imaging On Thursday, August 27, we report a characteristic trait from lung injury caused by using arc or electronic cigarettes. The most common characteristics of the samples observed include multiple ground glass opacities and compactions, and scan patterns similar to subacute hypersensitivity pneumonia.

US Congress announces smoking age will be raised to 21

(Photo by Stephanie Keith / Getty Images)
NEW YORK, NEW YORK-DEC 19: Vaping and e-cigarette products are on display at a store in New York City on December 19, 2019. Congress raised the legal age for smoking or vaping to 21 years. In 2018, more than 3.6 million junior high and high school students across the United States used e-cigarettes, according to the FDA.

Raise an alarm via EVALI

Electronic Cigarette And Vaporizer (steam) Is an electronic nicotine delivery system that replaces traditional tobacco products by heating juice, a mixture of nicotine, fragrances, and additional chemicals. Vapor is an aerosol mixture inhaled by the user. The use of these electronic nicotine delivery systems has grown rapidly over the past few years, especially among adolescents. Ah Breaking news University of Michigan graduates have shown that junior high school students’ use of electronic cigarettes and arc plasma nearly doubled from 2017 to 2019.

Relation: If a young man smokes a mod, he will be smoking six times as many cigarettes later: a survey

In 2019, the Centers for Disease Control and Prevention (CDC) received the first report of a new condition called EVALI- Electronic cigarettes with lung damage associated with the use of Vaping products.. It was determined by three criteria: (1) use of electronic cigarettes or arc plasma within 90 days of onset of symptoms, (2) abnormal chest images (CT, radiation), and (3) other Exclusion of damage source (infection), trauma, etc.). 3,000 hospitalizations and 68 deaths have surged since the CDC received the first case.

Michael B. Gottway MD, Radiologist at the Mayo Clinic, Scottsdale, Arizona, Extend previous research We discovered a unique pattern of lung injury found in young people who used vampires. In the latest study, a team at the Mayo Clinic investigated 26 patients with a positive diagnosis of EVALI, who had a CT scan and had a biopsy or other tissue removal procedure.

Identifying patterns to reduce the need for biopsies

Next, the researchers grouped the CT scan patterns according to the previously available patterns that were recognized. One of them is the opacity of frosted glass that looks white or grayish. CT scan In a normal healthy lung, instead of a normal black scan. Another pattern found among patients was a patch of integrated or lung tissue that appeared whiter on CT than other parts of the lung.

Relation: How does a CT scan work?

“We read a CT scan and plugged it into one of these patterns and associated it with histopathology,” Dr. Gotway said. He added that frosted glass opacity appears to be the most common pattern associated with EVALI, with occasional integration.

Following these most common patterns were CT scan patterns that were reminiscent of subacute hypersensitivity pneumonia. This condition is usually associated with intermittent or continuous long-term exposure to low doses of antigen. It is generally characterized by inflammation of lung tissue.

For the research team, establishing a link between these observable CT scan patterns and EVALI can serve as an important diagnostic tool, reducing lung biopsy, resulting in cost and lead time requirements. ​You can reduce both. It can help doctors treat patients, especially young people, who experience common symptoms such as shortness of breath and chest pain.

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