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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Vitamin E acetate (vaped, inhaled)

5

I.a Pneumonitis (ILD), acute and/or severe (may cause ARDS)

5
Last update : 29/11/2019
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
E-cigarette's, e-vaporizer's secondhand vapor (Passive vaping)
1

Publications

Vitamin E Acetate in Bronchoalveolar-Lavage Fluid Associated with EVALI.
The New England journal of medicine 2020 Feb 20;382;697-705 2020 Feb 20
Characteristics of E-cigarette, or Vaping, Products Used by Patients with Associated Lung Injury and Products Seized by Law Enforcement - Minnesota, 2018 and 2019.
MMWR. Morbidity and mortality weekly report 2019 Nov 29;68;1096-1100 2019 Nov 29

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