Some sage advice: A case report of sage burning causing interstitial lung disease
Background: Cigarette smoking remains the commonest cause of chronic obstructive pulmonary disease (COPD) and respiratory bronchiolitis-associated interstitial lung disease (RB-ILD). Biomass combustion remains a high risk for causing respiratory disease. Method: We present a case of a 41-year-old wo...
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| Language: | English |
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Elsevier
2025-07-01
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| Series: | Clinical Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1470211825000557 |
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| author | Jonathan Ayling-Smith Richard Attanoos Nicola-Xan Hutchinson |
| author_facet | Jonathan Ayling-Smith Richard Attanoos Nicola-Xan Hutchinson |
| author_sort | Jonathan Ayling-Smith |
| collection | DOAJ |
| description | Background: Cigarette smoking remains the commonest cause of chronic obstructive pulmonary disease (COPD) and respiratory bronchiolitis-associated interstitial lung disease (RB-ILD). Biomass combustion remains a high risk for causing respiratory disease. Method: We present a case of a 41-year-old woman and never-smoker with worsening breathlessness. It was identified that she made fire pits burning sage and oils for spiritual work, but beyond this had no respiratory risk factors. Results: Radiological evidence of RB-ILD was identified and a bronchoscopic lavage demonstrated the presence of striking green pigmented macrophages, presumed to be chlorophyll uptake. Conclusions: Cessation of burning sage exposure has resulted in a positive outcome. This case highlights the need for an extensive occupational or exposure history in respiratory medicine and describes histological features of interstitial lung disease not previously identified. |
| format | Article |
| id | doaj-art-7a0fc94f303145bfb8ee3aa0647dbcbe |
| institution | Kabale University |
| issn | 1470-2118 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Medicine |
| spelling | doaj-art-7a0fc94f303145bfb8ee3aa0647dbcbe2025-08-20T03:41:14ZengElsevierClinical Medicine1470-21182025-07-0125410033710.1016/j.clinme.2025.100337Some sage advice: A case report of sage burning causing interstitial lung diseaseJonathan Ayling-Smith0Richard Attanoos1Nicola-Xan Hutchinson2Department of Respiratory Medicine, Cardiff and Vale University Health Board, Cardiff, Wales, UK; Corresponding author.Department of Cellular Pathology, University Hospital of Wales, Cardiff, Wales, UK; School of Medicine, Cardiff University, Cardiff, UKDepartment of Respiratory Medicine, Cardiff and Vale University Health Board, Cardiff, Wales, UKBackground: Cigarette smoking remains the commonest cause of chronic obstructive pulmonary disease (COPD) and respiratory bronchiolitis-associated interstitial lung disease (RB-ILD). Biomass combustion remains a high risk for causing respiratory disease. Method: We present a case of a 41-year-old woman and never-smoker with worsening breathlessness. It was identified that she made fire pits burning sage and oils for spiritual work, but beyond this had no respiratory risk factors. Results: Radiological evidence of RB-ILD was identified and a bronchoscopic lavage demonstrated the presence of striking green pigmented macrophages, presumed to be chlorophyll uptake. Conclusions: Cessation of burning sage exposure has resulted in a positive outcome. This case highlights the need for an extensive occupational or exposure history in respiratory medicine and describes histological features of interstitial lung disease not previously identified.http://www.sciencedirect.com/science/article/pii/S1470211825000557Case reportSageBurningILDRB-ILDBiomass |
| spellingShingle | Jonathan Ayling-Smith Richard Attanoos Nicola-Xan Hutchinson Some sage advice: A case report of sage burning causing interstitial lung disease Clinical Medicine Case report Sage Burning ILD RB-ILD Biomass |
| title | Some sage advice: A case report of sage burning causing interstitial lung disease |
| title_full | Some sage advice: A case report of sage burning causing interstitial lung disease |
| title_fullStr | Some sage advice: A case report of sage burning causing interstitial lung disease |
| title_full_unstemmed | Some sage advice: A case report of sage burning causing interstitial lung disease |
| title_short | Some sage advice: A case report of sage burning causing interstitial lung disease |
| title_sort | some sage advice a case report of sage burning causing interstitial lung disease |
| topic | Case report Sage Burning ILD RB-ILD Biomass |
| url | http://www.sciencedirect.com/science/article/pii/S1470211825000557 |
| work_keys_str_mv | AT jonathanaylingsmith somesageadviceacasereportofsageburningcausinginterstitiallungdisease AT richardattanoos somesageadviceacasereportofsageburningcausinginterstitiallungdisease AT nicolaxanhutchinson somesageadviceacasereportofsageburningcausinginterstitiallungdisease |