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Thorax 2000;55:340-342 doi:10.1136/thorax.55.4.340
  • Case Report

Large lung bullae in marijuana smokers

  1. Martin K Johnsona,
  2. Robin P Smithb,
  3. Douglas Morrisona,
  4. Gabriel Laszlob,
  5. Roger J Whitea
  1. aDepartment of Medicine, Frenchay Hospital, Bristol BS16 1LE, UK, bDepartment of Respiratory Medicine, Bristol Royal Infirmary, Bristol BS2 8HW, UK
  1. Dr M K Johnson, Department of Respiratory Medicine, Glasgow Royal Infirmary, Glasgow G31 2ER, UK
  • Received 12 January 1998
  • Revision requested 1 April 1998
  • Revised 1 July 1998
  • Accepted 16 July 1998

Abstract

The case histories are presented of four men with multiple large upper zone lung bullae but otherwise relatively preserved lung parenchyma. Each had a history of significant exposure to marijuana. In three of the four cases the tobacco smoking load had been relatively small, suggesting a possible causal role for marijuana in the pathogenesis of this unusual pattern of bullous emphysema.

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