Chronic mountain sickness

Background

  • Excessive polycythemia for a given altitude (Hgb >20)
  • Occurs in patients living at high-altitude who have COPD, sleep apnea or impaired respiratory drive

Clinical Features

  • Headache
  • Difficulty thinking
  • Impaired peripheral circulation
  • Drowsiness

Differential Diagnosis

High Altitude Illnesses

Evaluation

Management

  • Phlebotomy
  • Relocation to lower altitude
  • Home O2 use

See Also

References