• S. Afr. Med. J. · Oct 2021

    Secondary polycythaemia with elevated carbon monoxide levels due to hookah pipe smoking: A public health concern.

    • T Moodley, K T Mannaru, A Hugo, J A Lines, J M Van der Merwe, N Ramparsad, and N S Holland.
    • Haematology Department, Lancet Laboratories, Johannesburg, South Africa. trisha.moodley@lancet.co.za.
    • S. Afr. Med. J. 2021 Oct 5; 111 (10): 938-941.

    AbstractHookah pipe (HP) smoking is perceived as a harmless activity, enjoyed by young adults and high school-going children. Awareness of the health impact of recreational habits, and their intersection with new social norms in the COVID-era, requires critical review. We describe a case series of young HP smokers presenting with secondary polycythaemia with significant clinical sequelae necessitating extensive work-up. HP smoking may lead to acute and chronic carbon monoxide intoxication, with resultant secondary polycythaemia and complications including provoked thrombosis.

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