Javorniczky Nora Rebeka, Waller Cornelius F, Pahl Heike L, von Bubnoff Nikolas, Becker Heiko
Department of Medicine I, Medical Center-University of Freiburg, Freiburg, Germany.
Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Oxf Med Case Reports. 2019 May 31;2019(5):omz027. doi: 10.1093/omcr/omz027. eCollection 2019 May.
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.
在欧洲国家，吸食水烟已变得非常流行。一名27岁男性患者因不明原因的红细胞增多症被转诊至我们诊所。他自述的病史包括从14岁起几乎每天都吸食水烟。就诊时，血红蛋白、血细胞比容（Hct）和碳氧血红蛋白（CO-Hb）水平分别升高至19.7 g/dl、54%和15.4%。停止吸食水烟后，红细胞增多症完全可逆。随访期间，血红蛋白、Hct和CO-Hb水平根据水烟使用强度而波动。我们的报告应提高医生对吸食水烟作为继发性红细胞增多症可能病因的认识，尤其是在年轻成年人中，并为临床管理提供指导。
