UNNOTICED ETIOLOGY IN ORTHOPEDIC COMPLAINTS : CHRONIC MOUNTAIN SICKNESS

dc.contributor.authorKaraytug, Kayahan
dc.contributor.authorEkinci, Mehmet
dc.contributor.authorYucekul, Altug
dc.date.accessioned2023-02-21T12:36:23Z
dc.date.available2023-02-21T12:36:23Z
dc.date.issued2022-01-01
dc.description.abstractObjective: Chronic mountain sickness (CMS) is a clinical syndrome with symptoms of polycythemia that may interfere with other nonspecific diseases. The current study aimed to investigate the symptoms of patients living at high altitudes, who initially presented complaints that seemed to be common orthopedic problems, and to examine their relationship with chronic mountain sickness. Materials and Methods: The prospectively collected data of 104 patients were retrospectively evaluated for serum hemo-globin (Hb) and hematocrit (Hct) levels, oxygen saturation (sO(2)), Qinghai CMS questionnaire score, alcohol and tobacco use, ``any history of acute mountain sickness, body mass index (BMI), blood pressure, heart rate, and duration of high-altitude living. Patients grouped according to the Qinghai score as healthy, mild, moderate or severe CMS. The groups were investigated in terms of parameters and demographic characteristics. Results: Of the 104 patients, 33 (31.7\%) had a mild CMS score >= 6 (28 patients, 6-10, 5 patients, 11-14 points)
dc.description.abstractremaining patients had no CMS. The frequency of excessive erythrocytosis was 4.5\% in men and 3.3\% in women. There was a significant difference in Hb, Hct and sO(2) levels between the healthy and mild CMS groups (p<0.001). CMS score had a positive correlation with Hct (rho 0.381, p<0.001) and negative correlation between sO(2) levels (rho-0.432, p<0.001). Conclusions: CMS can be observed at lower altitudes than described in literature. In individuals living in high altitudes, some of the CMS symptoms may be confused with real orthopedic symptoms and orthopedists working in these areas should increase their awareness on this issue. In order to make an appropriate approach, other symptoms related to CMS should be questioned in patients living at high altitudes.
dc.description.issue1
dc.description.pages98-104
dc.description.volume85
dc.identifier.doi10.26650/IUITFD.929597
dc.identifier.urihttps://hdl.handle.net/11443/2090
dc.identifier.urihttp://dx.doi.org/10.26650/IUITFD.929597
dc.identifier.wosWOS:000748481000001
dc.publisherISTANBUL UNIV, FAC MEDICINE, PUBL OFF
dc.relation.ispartofJOURNAL OF ISTANBUL FACULTY OF MEDICINE-ISTANBUL TIP FAKULTESI DERGISI
dc.subjectChronic mountain sickness
dc.subjectorthopedics symptoms
dc.subjectmuscle joint pain
dc.subjecthemoglobin
dc.subjectoxygen saturation
dc.titleUNNOTICED ETIOLOGY IN ORTHOPEDIC COMPLAINTS : CHRONIC MOUNTAIN SICKNESS
dc.typeArticle

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