Electronic cigarettes vaping impact on the respiratory system of vapers

Abstract

The use of E-cigarette or vaping has gained popularity in the past decade, especially among teenagers and young people, Also entering the pandemic era with people quarantining at home for long hours and mental health issues associated with this, the use of (ENDS) has gained even more popularity. In the summer of 2019(1), patients with respiratory illness related to vaping or ENDS use presented to healthcare facilities at an epidemic level that CDC labeled as (EVALI) till now there is no specific test, and diagnosis requires clinical, laboratory, with particular imaging findings. The emergence of the COVID pandemic and the overlapping imaging finding between conditions made EVALI diagnosis more challenging, especially with clinicians' approach focused more on COVID respiratory distress syndrome and overlooked EVALI in the differential diagnosis for respiratory distress syndrome. We present a case of respiratory distress with hypoxemia during the COVID pandemic her imaging finding overlapped with COVID and we focused mainly on COVID as a cause for this patient respiratory distress Then, COVID was ruled out as the culprit for this patient's symptoms and she was diagnosed with EVALI.