PMID: 9441119Dec 1, 1996Paper

Chronic lymphatic leukaemia presenting as severe obstructive sleep apnoea

Respirology : Official Journal of the Asian Pacific Society of Respirology
P Nolan

Abstract

A case of adenotonsillar enlargement from chronic lymphatic leukaemia leading to severe obstructive sleep apnoea (OSA) is described. Nasal continuous positive airway pressure (nCPAP) therapy was poorly tolerated because even at high pressures (+15 cm H2O) obstructive hypopnoeas persisted. Tonsillectomy resulted in significant improvement, though OSA persisted. nCPAP was reintroduced and at low pressures (+6 cm H2O) was efficacious in alleviating the patient's symptoms. This report highlights the need to consider OSA as a cause of constitutional symptoms in adults with lymphoreticular disease, especially where there is involvement of Waldeyer's ring.

References

Apr 1, 1988·The American Review of Respiratory Disease·G A GouldN J Douglas
Jan 1, 1985·Critical Care Medicine·D R Hillman, K E Finucane
Jun 1, 1995·Journal of Paediatrics and Child Health·N J FreezerC F Robertson

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Citations

Jul 30, 2004·World Journal of Surgical Oncology·Yung-An TsouMing-Hsui Tsai
May 21, 2016·Sleep Medicine·Narat Srivali, Kannan Ramar
Jul 14, 2016·Indian Journal of Hematology & Blood Transfusion : an Official Journal of Indian Society of Hematology and Blood Transfusion·Rajan DuggalKumud Kumar Handa
Sep 18, 2007·Annals of Diagnostic Pathology·Kedar V Inamdar, Carlos E Bueso-Ramos
Jul 11, 2019·BMJ Case Reports·Gregory Paul Stimac, Asefa Jejaw Mekonnen

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