Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Electronic Cigarette or Vaping Product Use-Associated Lung Injury: A Case Report

전자담배 관련 급성 폐 손상: 증례 보고

  • Jiyun Lim (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Bo Da Nam (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Jung Hwa Hwang (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Yang-Ki Kim (Department of Respiratory and Allergy Medicine, Soonchunhyang University Seoul Hospital) ;
  • Eunsun Oh (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Eun Ji Lee (Department of Radiology, Soonchunhyang University Seoul Hospital)
  • 임지윤 (순천향대학교 서울병원 영상의학과) ;
  • 남보다 (순천향대학교 서울병원 영상의학과) ;
  • 황정화 (순천향대학교 서울병원 영상의학과) ;
  • 김양기 (순천향대학교 서울병원 호흡기알레르기내과) ;
  • 오은선 (순천향대학교 서울병원 영상의학과) ;
  • 이은지 (순천향대학교 서울병원 영상의학과)
  • Received : 2020.12.07
  • Accepted : 2021.02.16
  • Published : 2021.11.01
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Abstract

Electronic cigarette (e-cigarette) or vaping product use-associated lung injury (EVALI) has emerged as a social issue as e-cigarette use is rapidly increasing worldwide and is related to many deaths in the United States. To our knowledge, this is the first case report of EVALI in South Korea of a 24-year-old man with acute respiratory symptoms and a history of e-cigarette use. Chest CT revealed diffuse bilateral ground-glass opacities with subpleural sparing, airspace consolidation, and centrilobular micronodules as typical patterns of EVALI with organizing pneumonia and diffuse alveolar damage. Infection was excluded with meticulous laboratory examinations, and the patients' illnesses were not attributed to other causes. EVALI was diagnosed by meeting the diagnostic criteria with consistent clinico-radiologic findings through a multidisciplinary approach. Radiologists should have good knowledge of EVALI radiologic findings and play a cardinal role in the proper diagnosis and management of EVALI.

세계적으로 전자담배 사용의 급속한 증가와 함께 미국을 중심으로 전자담배와 관련된 사망보고들이 발생함에 따라 전자담배 관련 급성 폐 손상은 중요한 사회적 문제로 대두되었다. 이 증례 보고는 급성 호흡기 증상과 전자담배 흡연력이 있는 24세 남자 환자에서 전자담배 관련 급성 폐 손상을 진단한 국내 첫 사례이다. 흉부 CT에서 흉막하부 보존을 보이는 미만성간유리음영과 폐경화 및 중심소엽성 미세결절의 소견을 보여 전자담배 관련 폐 손상의 특징적 형태인 기질화폐렴과 미만성폐포손상에 해당하는 증례로 생각되었고, 검사실 소견에서 감염이 배제되고, 환자의 질병을 설명할 다른 원인이 없었다. 따라서, 임상 소견 및 부합하는 영상 소견으로 진단 기준을 충족하여, 다학제 진료를 통해 전자담배 관련 급성 폐 손상을 진단하였다. 이를 통해 영상의학과 의사들이 전자담배 관련 급성 폐 손상의 진단에 중요한 역할을 할 수 있을 것으로 생각된다.

Keywords

Acknowledgement

This research was supported by the Soonchunhyang University Research Fund.

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