Case 14

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI:

Series: Oxford Case Histories

Case 14

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A 78-year-old man was referred for continuous positive airway pressure (CPAP) therapy. He had developed snoring and witnessed apnoeas over the past 5 years (having had an unsuccessful uvulopalatopharyngoplasty), along with excessive daytime sleepiness over the last year (Epworth Sleepiness Score, 16/24). He had lost 5kg (BMI of 21). Three years previously he had an ineffective prostatectomy for urinary retention and dribbling. He had started shouting during sleep and thrashing around in bed. His wife thought that he had ‘slowed up’ over the last year. He was now finding it difficult to play the piano, but put this down to his being 78. On more direct questioning he described dizziness on getting out of bed in the mornings, after meals and if he got out of a chair too quickly. He had been impotent for several years and noticed he no longer sweated. He was taking no medications.

Chapter.  1179 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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