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Letter to the editor| Volume 20, ISSUE 3, P305-306, April 2001

Pneumomediastinum in association with mdma ingestion

      We read with interest the case report and discussion by Maravelli et al. on Pneumomediastinum acquired by glass blowing (
      • Maravelli A.J.
      • Skiendzielewski J.J.
      • Snover W.
      Pneumomediastinum acquired by glass blowing.
      ). In their discussion, they mention as causes the inhalational toxic effects of cocaine and marijuana. We would like to highlight the association of pneumomediastinum with 3,4-methylenedioxymetamphetamine (MDMA or “ecstasy”) ingestion, which has become pervasive in the United Kingdom as a “recreational drug.”
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      References

        • Maravelli A.J.
        • Skiendzielewski J.J.
        • Snover W.
        Pneumomediastinum acquired by glass blowing.
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      1. Levine AJ, Drew S, Rees GM. “Ecstasy” induced pneumomediastinum. J R Soc Med 1993;86:232–3.