Utah's health authorities investigated 21 cases of major vascular-related illnesses on Monday, about a week after the United States Centers for Disease Control warned of an accumulation of lung disease cases that appeared to be related to e-cigarettes.
According to department spokeswoman Rebecca Ward, health authorities are investigating another five unconfirmed cases.
Before patients had respiratory distress, they reported initially mild symptoms, such as shortness of breath and chest pain. Many patients also have gastrointestinal problems, including nausea and diarrhea, according to the CDC.
Doctors in Utah have found several cases of lipoid pneumonia in steam patients where fat deposits, possibly from oil in vapor juice, have been found in microscopic air.
The state health department collects samples of vaporizing juice from affected patients to test the contents, Ward said. The patients in some cases vaporized nicotine, in other THC ̵
"The department … carries out tests on steam products to determine if the products contain inhalants like nicotine, THC or other harmful substances contributing to severe lung disease," Ward said.