Popcorn Lung: Rare Asthma Like Disease Vapers Shouldn’t Ignore - Dr Sunil Kumar K

12:45 PM Apr 23, 2025 |

Popcorn Lung might sound like a funny nickname, but it refers to a real and serious lung disease known medically as bronchiolitis obliterans. This rare condition damages the smallest airways in the lungs the bronchioles leading to scarring, inflammation, and long-term breathing problems.

Symptoms: When Breathing Becomes a Struggle

Popcorn lung doesn’t hit like a lightning bolt, it creeps in slowly. The symptoms might start subtly, often mimicking asthma or chronic bronchitis. Common signs include:

  • Persistent dry cough that doesn’t go away
  • Shortness of breath, especially during or after physical activity
  • Wheezing
  • Fatigue and general feeling of being winded
  • Unexplained weight loss in some cases

Diagnosis of Popcorn Lung

Diagnosing Popcorn Lung isn’t straightforward. Because the symptoms mirror other lung diseases, doctors need to rule out more common conditions first.

If you're experiencing persistent respiratory symptoms and have a history of exposure to chemical fumes, vapours, or even vape products, it’s crucial to mention that during your visit.

To get a clearer picture, doctors may use:

  • Pulmonary function tests (PFTs) to measure how well your lungs are working
  • High-resolution CT scans to detect scarring or narrowing of the airways
  • Lung biopsy (in some cases), which involves removing a small piece of lung tissue for examination under a microscope

Treatment: Managing What Can’t Be Reversed

Unfortunately, Popcorn Lung has no cure. The damage done to the lungs is usually permanent, which makes early detection and management even more important. However, treatment focuses on slowing the progression of the disease and managing the symptoms.

  • Corticosteroids: These are often prescribed to reduce inflammation in the lungs.
  • Bronchodilators: These medications help open up the airways, making breathing easier.
  • Oxygen therapy: For those with advanced disease, supplemental oxygen may become necessary.
  • Lung transplant: In severe cases where breathing becomes extremely difficult and quality of life is severely impacted, a transplant might be the last resort.

Note of Caution for Vapers

While Popcorn Lung was first linked to popcorn factory workers, it's resurfaced in recent years due to concerns around e-cigarettes and vaping. Some vape liquids were found to contain diacetyl, raising red flags about long-term use. Though many manufacturers have since removed it, the risks remain unclear.

Closing Note

Popcorn Lung serves as a reminder that not all health hazards come with clear warning signs. It’s a condition born out of industrial exposure, but now relevant to anyone using flavoured inhalants or working in environments with chemical fumes. If your breathing feels off, don’t wait, your lungs will thank you for the early checkup.

Disclaimer: The views expressed in this article are of the author and not of Health Dialogues. The Editorial/Content team of Health Dialogues has not contributed to the writing/editing/packaging of this article.