Vaping associated lung injury (EVALI) has increased in prevalence after
first being noted in an outbreak among teenagers in 2019. Vaping
involves the use of a heating device to aerosolize a product, typically
nicotine or more recently, cannabinoids. Products that contain
cannabinoids, such as CBD oil, are being used more as these products are
easy to obtain and are typically less expensive. The clinical
manifestations of EVALI are widespread and include respiratory symptoms
as well as cardiogenic, gastrointestinal, and constitutive symptoms.
EVALI rarely presents with hemoptysis as one of the main presenting
symptoms, especially in an adolescent. This case will discuss EVALI with
associated hemoptysis in a teenager secondary to vaping cannabinoid oil.