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This may be the cause of E-cigarette Vaping product use Associated Long Injury (EVALI) since all cases of EVALI had this in their lungs 19 THC This may be the cause of EVALI 5 Diacetyl 7 High levels of exposure to diacetyl can lead to the serious lung disease bronchiolitis obliterans also known as popcorn lung Acetyl propionyl 7 known to cause respiratory distress and disease Formaldehyde 21 This is known to cause lung disease and contribute to heart disease Propylene glycol 11, 12 known to cause irritation to the lungs and eyes and may cause issues for people with asthma and emphysema