Water pipe smoking as a cause of secondary erythrocytosis

Nora Rebeka Javorniczky; Cornelius F. Waller; Heike L. Pahl; Nikolas Von Bubnoff; Heiko Becker

doi:10.1093/omcr/omz027

Water pipe smoking as a cause of secondary erythrocytosis

Nora Rebeka Javorniczky, Cornelius F. Waller, Heike L. Pahl, Nikolas Von Bubnoff, Heiko Becker^*

^*Corresponding author for this work

Clinic of Hematology and Oncology

University of Freiburg

Abstract

Water pipe (WP) smoking has become very popular in European countries. A 27-year-old male patient was referred to our clinic with erythrocytosis of unknown origin. His self-reported history included almost daily WP smoking since the age of 14 years. At presentation haemoglobin, haematocrit (Hct) and carboxy-haemoglobin (CO-Hb) levels were elevated to 19.7 g/dl, 54% and 15.4%, respectively. Erythrocytosis was completely reversible upon cessation of WP smoking. Upon follow-up, haemoglobin, Hct and CO-Hb levels undulated according to the intensity of WP usage. Our report shall raise awareness among physicians for WP smoking as a possible cause of secondary erythrocytosis, particularly among younger adults, and provide guidance for the clinical management.

Original language	English
Article number	omz027
Journal	Oxford Medical Case Reports
Volume	2019
Issue number	5
Pages (from-to)	187-190
Number of pages	4
DOIs	https://doi.org/10.1093/omcr/omz027
Publication status	Published - 31.05.2019

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title = "Water pipe smoking as a cause of secondary erythrocytosis",

abstract = "Water pipe (WP) smoking has become very popular in European countries. A 27-year-old male patient was referred to our clinic with erythrocytosis of unknown origin. His self-reported history included almost daily WP smoking since the age of 14 years. At presentation haemoglobin, haematocrit (Hct) and carboxy-haemoglobin (CO-Hb) levels were elevated to 19.7 g/dl, 54% and 15.4%, respectively. Erythrocytosis was completely reversible upon cessation of WP smoking. Upon follow-up, haemoglobin, Hct and CO-Hb levels undulated according to the intensity of WP usage. Our report shall raise awareness among physicians for WP smoking as a possible cause of secondary erythrocytosis, particularly among younger adults, and provide guidance for the clinical management.",

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doi = "10.1093/omcr/omz027",

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AU - Javorniczky, Nora Rebeka

AU - Waller, Cornelius F.

AU - Pahl, Heike L.

AU - Von Bubnoff, Nikolas

AU - Becker, Heiko

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N2 - Water pipe (WP) smoking has become very popular in European countries. A 27-year-old male patient was referred to our clinic with erythrocytosis of unknown origin. His self-reported history included almost daily WP smoking since the age of 14 years. At presentation haemoglobin, haematocrit (Hct) and carboxy-haemoglobin (CO-Hb) levels were elevated to 19.7 g/dl, 54% and 15.4%, respectively. Erythrocytosis was completely reversible upon cessation of WP smoking. Upon follow-up, haemoglobin, Hct and CO-Hb levels undulated according to the intensity of WP usage. Our report shall raise awareness among physicians for WP smoking as a possible cause of secondary erythrocytosis, particularly among younger adults, and provide guidance for the clinical management.

AB - Water pipe (WP) smoking has become very popular in European countries. A 27-year-old male patient was referred to our clinic with erythrocytosis of unknown origin. His self-reported history included almost daily WP smoking since the age of 14 years. At presentation haemoglobin, haematocrit (Hct) and carboxy-haemoglobin (CO-Hb) levels were elevated to 19.7 g/dl, 54% and 15.4%, respectively. Erythrocytosis was completely reversible upon cessation of WP smoking. Upon follow-up, haemoglobin, Hct and CO-Hb levels undulated according to the intensity of WP usage. Our report shall raise awareness among physicians for WP smoking as a possible cause of secondary erythrocytosis, particularly among younger adults, and provide guidance for the clinical management.

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Water pipe smoking as a cause of secondary erythrocytosis

Abstract

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