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(d) no alternative plausible diagnoses (e.g., cardiac, rheumatologic, or neoplastic process).5 On the other hand, bronchoscopy has been used, but cellular analysis has little diagnostic utility since there is no specific cellular pattern in EVALI, although it has been seen that a common finding is lipid-laden macrophages.5 Currently, there is no optimal treatment regimen for EVALI, however, as a first item, vaping should cease

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doi: 10.1136/bmjopen-2019-031598