Secondary erythrocytosis due to waterpipe smoking: A case report

In recent years, waterpipe smoking has gradually increased in our country, as in the world. Waterpipe smoking is a severe public health problem as cigarette smoking. Although the toxic substances are considered to be softened through passing from water, there is exposure to toxic substances and risk for contamination with some type of severe diseases. In addition, erythropoiesis is known to be induced with increased carboxy hemoglobin amount in blood and related secondary erythrocytosis may develop. Smoking-related tissue hypoxia is among the most common causes of secondary erythrocytosis. Herein, we presented a case that was admitted to family medicine clinic with various symptoms and diagnosed with narghile-related secondary erythocytosis.