Evidence map›Paper›PMID 41624020›Full record

ArticleFrontiers in physiology2025

Re-ascent triggered high-altitude pulmonary and cerebral edema in a Tibetan with pre-existing high-altitude polycythemia: a Case Report.

He Huang, Shuaijun Yuan, Limin Zhang, Jiaye Song, Dengwei Xue, Dongmei Liu, Jingxin Cao

Abstract readCase Reports
In one paragraph

Article in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

He Huang *Department of Neurology, The 940th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Lanzhou, China.
Shuaijun Yuan *Department of Respiratory, Affiliated Fukang Hospital of Tibet University, Lhasa, China.
Limin ZhangDepartment of Respiratory, Affiliated Fukang Hospital of Tibet University, Lhasa, China.
Jiaye SongDepartment of Preventive Medicine, Tibet University, Lhasa, China.
Dengwei XueDepartment of Respiratory, Affiliated Fukang Hospital of Tibet University, Lhasa, China.
Dongmei LiuDepartment of Critical Care Medicine, The 940th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Lanzhou, China.
Jingxin CaoDepartment of Respiratory, Affiliated Fukang Hospital of Tibet University, Lhasa, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-altitude pulmonary edema (HAPE), high-altitude cerebral edema (HACE), and high-altitude polycythemia (HAPC) are each rarely observed in Tibetan populations. The coexistence of HAPE, HACE, and HAPC in the same person has not been previously documented. Here, we report the case of a native Tibetan male with HAPC who developed both HAPE and HACE upon re-ascent to an altitude of 3,650 m after a 27-day stay at low altitude. On the 3rd-4th day post-return, the patient exhibited persistent dyspnea, chest tightness, hypersomnia, intermittent agitation, and confusion. Chest CT and multimodal neuroimaging confirmed the presence of HAPE and HACE. Treatment followed guidelines (supplemental oxygen, high-dose dexamethasone) along with supportive measures, resulting in clinical resolution. This is the first reported case of co-occurring HAPE, HACE and HAPC in a native Tibetan upon re-ascent, suggesting that pre-existing HAPC may be a significant risk factor for severe acute high-altitude illness in this setting.

Indexed as

high-altitude cerebral edemahigh-altitude polycythemiahigh-altitude pulmonary edemare-ascentsusceptibilityTibetan population

Identifiers

PMID41624020
PMCPMC12852030

What Socratic holds

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