PT - JOURNAL ARTICLE AU - Smeenk, FW AU - Serlie, J AU - van der Jagt, EJ AU - Postmus, PE TI - Bullous degeneration of the left lower lobe in a heroin addict DP - 1990 Nov 01 TA - European Respiratory Journal PG - 1224--1226 VI - 3 IP - 10 4099 - http://erj.ersjournals.com/content/3/10/1224.short 4100 - http://erj.ersjournals.com/content/3/10/1224.full SO - Eur Respir J1990 Nov 01; 3 AB - A 34 yr old heroin addict was referred because of chest pain caused by air-trapping in a bulla in the left lower lobe. There was a marked difference between the functional residual capacity measured by body-plethysmography and helium dilution. A slow wash-in and wash-out were demonstrated by ventilation scintigraphy with Xenon133. Bullous degeneration is a known complication of intravenous drug abuse. Usually these bullae are found in the upper lobes. Possible causative mechanisms are discussed.