title: Bronchiolitis obliterans organizing pneumonia following a jalapeño grease fire.
abstract: Bronchiolitis obliterans organizing pneumonia (BOOP) is an inflammatory lung disease characterized by granulation tissue in the respiratory bronchioles, alveolar ducts and alveoli. BOOP can be caused by a number of etiologies including infection, toxic inhalation, medications, radiation, and collagen vascular disease, or it can be idiopathic. We report here a case of BOOP following inhalational exposure to a jalapeño grease fire. Capsaicin and other jalapeño-derived compounds are known causes of epithelial damage and airway inflammation but to our knowledge have never been implicated in the development of BOOP. This case adds to the growing list of exposures associated with BOOP and highlights the importance of taking a thorough exposure history in patients with lung injury of unknown etiology.
authors: Division of Pulmonary and Critical Care, Johns Hopkins University School of Medicine. Electronic address: bgariba1@jhmi.edu.
authors: Brian T
authors: BT
authors: Garibaldi
authors: Division of Pulmonary and Critical Care, Johns Hopkins University School of Medicine.
authors: Natalie E
authors: NE
authors: West
authors: Department of Pathology, Johns Hopkins University School of Medicine.
authors: Peter B
authors: PB
authors: Illei
authors: Division of Pulmonary and Critical Care, Johns Hopkins University School of Medicine.
authors: Peter B
authors: PB
authors: Terry
mesh_terms: D002212:Capsicum / Q000737:chemistry; D018549:Cryptogenic Organizing Pneumonia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005390:Fires; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D019570:Inhalation Exposure; D008297:Male; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use*; D015208:Smoke Inhalation Injury / Q000150:complications*; D055815:Young Adult
chemical_list: D005938:Glucocorticoids; D011241:Prednisone