Document Detail


A case of obstructive sleep apnea syndrome: unusual comorbidity.
MedLine Citation:
PMID:  20298340     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Launois-Bensaude syndrome (LBS) is a rare disease, characterized by the accumulation of fatty tissue predominantly in the neck, shoulders and thorax, whose diagnostic is clinical. OBJECTIVES: We describe a new case in a 73 year-old man. As the patient was obese, complained of snoring and was treated for hypertension, we looked for a morbid association with an obstructive sleep apnea syndrome (OSAS). METHODS: A polysomnography (PSG) and a cervical magnetic resonance imaging (MRI) were performed. RESULTS: PSG demonstrated OSAS with an apnea-hypopnea index of 43/h. Cervical MRI showed fatty infiltration resulting in airway narrowing at the pharyngeal but not at the tracheal level. Only, 3 cases of such a morbid association have already been published; in 2 of these patients was a tracheal compression. More over a metabolic syndrome was present. CONCLUSIONS: This observation draws attention to the need for seeking OSAS among patients affected by LBS, even in a moderate form, and emphasises the roles of the upper airway narrowing by the fat infiltration as well as the role of the metabolic syndrome in the genesis of OSAS.
Authors:
E Jalladeau; B Crestani; J-P Laissy; M F Vecchierini
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The clinical respiratory journal     Volume:  2     ISSN:  1752-699X     ISO Abbreviation:  Clin Respir J     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2010-03-19     Completed Date:  2010-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315570     Medline TA:  Clin Respir J     Country:  England    
Other Details:
Languages:  eng     Pagination:  239-41     Citation Subset:  IM    
Affiliation:
Laboratoire du Sommeil, Groupe Hospitalier Bichat Claude Bernard, AP-HP, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Aged
Body Mass Index
Disorders of Excessive Somnolence / complications*,  diagnosis
Humans
Lipomatosis, Multiple Symmetrical / complications*,  diagnosis
Magnetic Resonance Imaging / methods
Male
Obesity / complications*,  diagnosis
Polysomnography / methods
Prognosis
Respiratory Function Tests
Risk Assessment
Severity of Illness Index
Sleep Apnea, Obstructive / complications*,  diagnosis
Snoring

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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