Dabbing-Induced Hypersensitivity Pneumonitis

Abstract

Dabbing has been gaining popularity among young people in recent years due to its ability to deliver a high concentration of tetrahydrocannabinol. When produced illegally, it is usually contaminated by toxic substances and associated with multiple health hazards. We present the case of a 66-year-old woman who developed hypersensitivity pneumonitis after dabbing butane hash oil for the first time and was successfully treated with corticosteroids with complete resolution of her symptoms. This case report emphasizes the respiratory complications associated with using a noxious substance like butane hash oil and gives physicians an insight into the diagnosis and management of dabbing-induced hypersensitivity pneumonitis.

Acute Recreational Cannabis-Induced Hypersensitivity Pneumonitis: A Case Report

“…While the exact pathophysiologic mechanism is unknown, Haddad states that HP may result from a direct inhalation injury or a maladaptive immunological response by the body to the chemical impurities. In a study by Haddad et al, it is possible that the concentrated butane vapors led to an insult within the lungs upon inhalation and led to HP [ 5 ]. Our presenting patient may have had a similar underlying pathophysiological mechanism of injury, but the treatment and management were the same.…”