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It's a rare disease, first seen in 1985 in workers in food-flavor factories. In 2002, the disease was seen in workers making microwave popcorn -- in particular, those exposed to a buttery-tasting chemical called diacetyl. There have been many other reports since then, with at least three deaths and many patients awaiting lung transplants.
But Rose's patient had never been exposed to food-flavoring fumes. His only exposure was to the two or more bags of microwave popcorn he consumed every day.
Microwave popcorn, of course, gives off hot fumes if the bag is opened before the cooked popcorn cools. According to news reports, Rose's patient liked to inhale the aroma of newly popped microwave popcorn.