Chapter

Case 24

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: http://dx.doi.org/10.1093/med/9780199556373.003.024

Series: Oxford Case Histories

Case 24

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A 45-year-old engineer (born 1943) was referred by his GP for possible sleep apnoea in 1988. His presenting complaint was increasing and severe daytime sleepiness (he had fallen asleep whilst on the telephone and driving), general tiredness and fatigue, and restless sleep. He was known to be a snorer, but not every night. He had been a smoker for 25 years, having given up recently. He had had rheumatic fever aged 6 and a squint operation aged 8. Aged 16 he was 6ft 2in but by 17 he had lost 2in and was noticed to have a scoliosis. By aged 20 this was bad enough to require a spinal fusion. On examination he was 5ft 9in and thin (BMI 21). Apart from the scoliosis there was no evidence of a neuromuscular abnormality, in particular no fasciculation; nor evidence of cor pulmonale.

Chapter.  1812 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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