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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-53959

Soyka, M B; Schrepfer, T; Holzmann, D (2012). Blood markers of alcohol use in epistaxis patients. European Archives of Oto-Rhino-Laryngology, 269(8):1917-1922.

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Abstract

Epistaxis and alcohol overconsumption are frequently encountered in patients admitted to emergency wards. The aim of the study was to analyze indirect markers of alcohol overconsumption in epistaxis patients and evaluate its role as a risk factor. In a cohort of 510 epistaxis patients indirect markers of alcohol overuse were measured including the mean corpuscular volume (MCV), gamma glutamyltransferase (GGT), aspartate aminotransferase and alanine aminotransferase. The results were compared to the normal findings in literature. Pathologic mean levels of GGT were found in epistaxis patients. Almost 5% had macrocytosis and MCV correlated positively with liver enzyme levels. Platelet counts were negatively correlated with both corpuscular volumes and liver enzymes. Indirect markers of alcohol overconsumption were found to be elevated in epistaxis patients. These results suggest that a subgroup of epistaxis patients overconsumes alcoholic beverages supporting the idea of alcohol abuse being a risk factor in epistaxis. Questioning about drinking habits should be employed and help offered to affected patients.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Otorhinolaryngology
DDC:610 Medicine & health
Language:English
Date:2012
Deposited On:27 Dec 2011 11:10
Last Modified:08 Dec 2013 19:20
Publisher:Springer
ISSN:0937-4477
Publisher DOI:10.1007/s00405-011-1881-7
PubMed ID:22183501
Citations:Web of Science®
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