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a Department of
Medicine, Frenchay Hospital, Bristol BS16 1LE, UK, b Department of Respiratory Medicine, Bristol
Royal Infirmary, Bristol BS2 8HW, UK
Correspondence to: Dr M K Johnson, Department of Respiratory Medicine, Glasgow Royal Infirmary, Glasgow G31 2ER, UK
Received 12 January 1998; Returned to authors 1 April 1998; Revised version received 1 July 1998; Accepted for publication 16 July 1998
The case histories are presented of four men with multiple
large upper zone lung bullae but otherwise relatively preserved lung
parenchyma. Each had a history of significant exposure to marijuana. In
three of the four cases the tobacco smoking load had been relatively
small, suggesting a possible causal role for marijuana in the
pathogenesis of this unusual pattern of bullous emphysema.
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