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Case Report A 35-year-old male patient with no known comorbidities other than migraine, and no history of cigarette smoking, illicit drug use, or exposure to pneumotoxic substances, presented to the emergency department with complaints of coughing up, by his own statement, approximately 1000 cc of bright red blood following a 56 hour car journey during which he reported intensive ECs use (Figure 1)

In Spain, smoking cessation treatments have only recently been offered to people who smoke and currently only one drug is subsidized 31

never e-cigarette users had reduced odds for screening within the past year