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  • Title: Secondary polycythaemia with elevated carbon monoxide levels due to hookah pipe smoking: A public health concern.
    Author: Moodley T, Mannaru KT, Hugo A, Lines JA, Van der Merwe JM, Ramparsad N, Holland NS.
    Journal: S Afr Med J; 2021 Oct 05; 111(10):938-941. PubMed ID: 34949285.
    Abstract:
    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.
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