The outbreak of a vaping-related respiratory illness was widely recognized in late 2019, although awareness of lung injury was noted in scattered reports prior to this year, particularly as use of vaping products was increasing among younger people.1,2 This is why the average age in recent studies was 2124 years, and men were the most commonly affected.3 Respiratory complaints (97%),2,3 including shortness of breath and chest pain, are present in the majority of EVALI patients, and constitutional symptoms resembling viral illnesses are common.3,4 Interestingly, gastrointestinal disorders are also frequently observed (77%).2,3 Regarding its diagnostic imaging, the first reports suggested that a variety of pathological patterns of injury and inflammation could be found in EVALI, including: diffuse alveolar damage, diffuse alveolar hemorrhage, mild nonspecific inflammation, granulomatous pneumonitis, exogenous lipoid pneumonia, and respiratory bronchiolitis.1,5 The typical findings on the EVALI chest radiograph are diffuse ground glass bilateral opacities with occasional subpleural sparing
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Lednar WM, Tyroler HA, McMichael AJ, & Shy CM (1977) The occupational determinants of chronic disabling pulmonary disease in rubber workers
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