Moodley T, Mannaru K T, Hugo A, Lines J A, Van der Merwe J M, Ramparsad N, Holland N S
Haematology Department, Lancet Laboratories, Johannesburg, South Africa.
S Afr Med J. 2021 Oct 5;111(10):938-941. doi: 10.7196/SAMJ.2021.v111i10.15802.
Hookah 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.
水烟筒吸食被视为一种无害的活动，受到年轻人和高中生的喜爱。在新冠疫情时代，对于娱乐习惯对健康的影响以及它们与新社会规范的交叉点，需要进行批判性审视。我们描述了一系列年轻水烟筒吸食者的病例，他们出现继发性红细胞增多症，并伴有严重的临床后遗症，需要进行广泛的检查。吸食水烟筒可能导致急性和慢性一氧化碳中毒，进而引发继发性红细胞增多症以及包括诱发血栓形成在内的并发症。
