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Popcorn Lung

Popcorn lung is a condition caused by the inhalation of toxic substances. It affects the bronchioles, the smallest passages for air in the lungs. In a person with popcorn lung, healthy tissue in the bronchioles becomes irritated and damaged, and it may scar.

The disease was first discovered in a group of workers from a microwave popcorn plant. The workers had inhaled diacetyl, a chemical used to add flavour. While diacetyl is no longer used to flavour popcorn, it is used to flavour the liquid in e-cigarettes and vapes. Popcorn lung is commonly linked to people who vape and use e-cigarettes, and even to second-hand exposure.

Symptoms

Common symptoms of popcorn lung include:

  • Shortness of breath
  • Coughing, especially during a high-intensity activity
  • Fever
  • Night sweats
  • Frequent tiredness
  • Skin rash
  • Wheezing – breathing that occurs when part of the airway is blocked, usually sounding like a whistle or rattle

Some people with popcorn lung do not have any initial symptoms.

Causes & Risk Factors

Popcorn lung is caused by the inhalation of the toxic chemical diacetyl in the liquid that is vaporised in e-cigarettes and vaping devices.

Risk factors for popcorn lung include secondary exposure to the vapours from e-cigarettes and vaping devices and pre-existing lung conditions such as asthma.

Diagnosis & Complications

A doctor will use a combination of medical history, current symptoms, a physical exam, and imaging scans to diagnose popcorn lung. It can be difficult to diagnose popcorn lung without any imaging scans since symptoms like shortness of breath and becoming tired easily are common to several conditions. Imaging scans and diagnostic tests are critical to ruling out diseases and making the correct diagnosis.

Your provider may order:

  • X-ray or CT scan
  • Lung function tests – these non-invasive series of tests measure how much air your lungs can hold and how well oxygen is passing through the tissues of your lungs into your blood
  • Bronchoscopy – this test involves a small camera being put down one of your two bronchi, the two largest passageways for air in your lungs. From here, your doctor will manoeuvre the camera to view your other lung structures.
  • Lung biopsy – this test involves a small sample of lung tissue being taken so that your doctor can look for infection and abnormal growth.

Complications of popcorn lung include worsening of symptoms and death due to lung-related causes. It’s important to note that if untreated, popcorn lung can be fatal.

Treatment, Management & Prevention

Popcorn lung is treatable, but it is not a reversible disease. Damage done to the lungs by exposure to diacetyl in e-cigarettes and/or vaping devices can’t be undone. It is important that people living with popcorn lung adhere to their treatment plans to prevent worsening of the condition.

If you have been diagnosed with popcorn lung, it is important to stop using e-cigarettes and/or vaping devices immediately. Discuss resources for stopping use with your doctor.

Therapeutic options for people with popcorn lung include:

  • Corticosteroids – Eases irritation of the bronchioles
  • Albuterol – Helps with breathing by relaxing the bronchioles
  • Oxygen therapy
  • Lung transplant – This is considered when all other options have been exhausted

Corticosteroids have a lot of potential to help patients with popcorn lung. They also have several side effects that should not be taken lightly and can be discussed with a doctor. These include abnormal changes in mood, abnormal weight gain, trouble sleeping, nervousness, and complications with diabetes management.

If you’re living with popcorn lung, try to avoid anything else that may irritate your lungs, including e-cigarette vapours, tobacco smoke, and pollution. Maintain good hygiene practices, avoid those who are sick, and practice masking. See a doctor right away if you’re sick and take any medicines as your doctor instructs.

Prevention of popcorn lung includes avoiding e-cigarettes, vaping devices, and their second-hand vapours.

 
 
 

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