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Vaping-associated lung injury caused by inhalation of cannabis oil [Case Report]

Abeles, Michael; Popofsky, Stephanie; Wen, Andy; Valsamis, Christina; Webb, Angela; Halaby, Claudia; Pirzada, Melodi
Vaping is a growing concern in adolescents, and a growing proportion is using electronic devices to inhale cannabis oil. The short-term and long-term effects of cannabis oil inhalation are not well understood. We report on a case of severe acute lung injury secondary to inhalation of cannabis oil via a vape pen, and propose a new term that describes lung injury related to vaping.
PMID: 31746559
ISSN: 1099-0496
CID: 4209022

Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology

Bishara, John; Webb, Angela; Valsamis, Christina; Halaby, Claudia; Pirzada, Melodi
Persistent tachypnea and failure to thrive during infancy have a broad differential diagnosis which includes pulmonary and cardiovascular disorders. Diffuse alveolar hemorrhage (DAH) is a rare entity in children. DAH requires an extensive work-up as certain conditions may need chronic therapy. Cardiovascular disorders are included in the etiology of DAH. We present a case of an 8-month-old female with a moderate, restrictive patent ductus arteriosus (PDA) admitted to the hospital with respiratory distress and failure to thrive. An extensive work-up into tachypnea including multiple echocardiograms did not find an etiology. Open lung biopsy was performed and consistent with pulmonary hypertension. After closure of the PDA, patient's tachypnea improved, and she was discharged home with periodic follow-up showing a growing, thriving child. When an infant presents with tachypnea, a respiratory viral illness is often a common cause. The diagnosis of persistent tachypnea requires further investigation. Echocardiography, although readily available, may not always be sensitive in detecting clinically significant pulmonary hypertension. A clinician must have a heightened index of suspicion to proceed in evaluating for causes of tachypnea with a nonrespiratory etiology.
PMID: 27895951
ISSN: 2090-6803
CID: 3497942

Abnormalities of Pulmonary Function Testing in a Cohort of Obese Children [Meeting Abstract]

Webb, Angela; Saddaiah, Roopa; Halaby, Claudia; Valsamis, Christina; Islam, Shahidul; Pirzada, Melodi
ISSN: 0012-3692
CID: 3496232