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Eur J Cardiothorac Surg 2008;34:707. doi:10.1016/j.ejcts.2008.06.034
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Letters to the Editor

Reply to Fiorello et al.

Ralph A. Schmid*, Morris Beshay

Division of General Thoracic Surgery, University Hospital Bern, CH-3010 Bern, Switzerland

Received 16 June 2008; accepted 19 June 2008.

* Corresponding author. Tel.: +41 31 632 2330; fax: +41 31 632 2327. (Email: ralph.schmid{at}insel.ch).

Key Words: Cannabis smoking • Lung injury • Bullous emphysema

We thank Dr Fiorello [1] and his group for the additional information on the topic [2] and we assume we are not the only thoracic centre seeing this type of lung injury. It is true that we do not exactly know what these patients are smoking and additives as lead, talcum or other substances to increase weight when selling these drugs have been reported and it is of course difficult to identify the additives retrospectively in a specific patient.

We have to pay attention to this problem but also have to ask the question, as in a recent editorial in the European Respiratory Journal: ‘Cannabis: the next villain on the lung cancer battlefield?’ [3].

References

  1. Fiorello A, Vicidomini G, Santini M. Marijuana smokers and lung bullae. Eur J Cardiothorac Surg 2008;34:706-707.[Free Full Text]
  2. Beshay M, Kaiser H, Niedhart D, Reymond MA, Schmid RA. Emphysema and secondary pneumothorax in young adults smoking cannabis. Eur J Cardiothorac Surg 2007;32:834-838.[Abstract/Free Full Text]
  3. Brambilla M, Colonnna C. Cannabis: the next villain on the lung cancer battlefield?. ERJ 2008;31:227-228.




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