Abstract
IntroductionLung injury associated with the use of electronic cigarettes and vaping (EVALI) was first identified in 2019. Since then, clusters of cases have been reported in the literature. Our aim was to describe the clinical presentation of adolescents with EVALI in the emergency department and their clinical outcomes.Case SeriesIn our case series, we identified seven adolescents diagnosed with EVALI. We describe their signs and symptoms on presentation to the emergency department and their clinical course. The most common symptoms on presentation were cough, shortness of breath, and vomiting. Each of these symptoms was seen in 71% of patients (n = 5), although not always together. Sinus tachycardia was noticed in 100% of patients (n = 7) and tachypnea in 85% (n = 6). While 85% (n = 6) required hospitalization for respiratory support, all patients were later discharged home on room air. After the diagnosis of EVALI, 85% of patients (n = 6) were treated with steroids.ConclusionEVALI is a new disease with unclear mechanisms that commonly presents with symptoms of cough, shortness of breath, and vomiting. It causes severe respiratory compromise in the adolescent population, requiring hospitalization and respiratory support.
Highlights
Lung injury associated with the use of electronic cigarettes and vaping (EVALI) was first identified in 2019
Case Series: In our case series, we identified seven adolescents diagnosed with EVALI
EVALI is a new disease with unclear mechanisms that commonly presents with symptoms of cough, shortness of breath, and vomiting
Summary
Lung injury associated with the use of electronic cigarettes and vaping (EVALI) was first identified in 2019. Case Series: In our case series, we identified seven adolescents diagnosed with EVALI We describe their signs and symptoms on presentation to the emergency department and their clinical course. The second component is the sensor that activates the coil, and the third component is the battery.[1,3] The hookah, known as a water pipe, is an ancient method of smoking nicotine In this method, the coal heats the tobacco and the smoke passes through the water reservoir before it is inhaled.[4] Contrary to public perception, hookah use is associated with oral, lung, and esophageal cancers, similar to smoking cigarettes.[4] In our study, we focused on e-cigarettes, and vaping, product-use associated lung injuries (EVALI)
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