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Updated: Oct 9, 2025
High Content Screening Analysis to Evaluate the Toxicological Effects of Harmful and Potentially Harmful Constituents HPHC
Published on: May 10, 2016
Secondary polycythaemia with elevated carbon monoxide levels due to hookah pipe smoking: A public health concern
T Moodley1, K T Mannaru, A Hugo
1Haematology Department, Lancet Laboratories, Johannesburg, South Africa. trisha.moodley@lancet.co.za.
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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