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Thorax 2004;59:360 doi:10.1136/thx.2003.019513
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Crack inhalation induced pneumomediastinum

  1. S M Janes,
  2. P W Ind,
  3. J Jackson
  1. Hammersmith Hospital, Du Cane Road, London W12 0HS, UK
  1. Correspondence to:
    Dr P W Ind
    Hammersmith Hospital, Du Cane Road, London W12 0HS, UK; p.indic.ac.uk

    “Crack lung” is an acute pulmonary syndrome with a spectrum of clinical and histopathological findings. Smoking crack, a potent and highly addictive crystalline form of cocaine, usually involves deep inspiration followed by the valsalva manoeuvre and coughing.

    A 30 year old man presented 8 hours after smoking crack with severe chest pain and coughing. His chest radiograph showed …

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