PT  - JOURNAL ARTICLE
AU  - Orliaguet, O
AU  - Pepin, JL
AU  - Veale, D
AU  - Kelkel, E
AU  - Pinel, N
AU  - Levy, P
TI  - Hunter's syndrome and associated sleep apnoea cured by CPAP and surgery
DP  - 1999 May 01
TA  - European Respiratory Journal
PG  - 1195--1197
VI  - 13
IP  - 5
4099  - http://erj.ersjournals.com/content/13/5/1195.short
4100  - http://erj.ersjournals.com/content/13/5/1195.full
SO  - Eur Respir J1999 May 01; 13
AB  - A 42-yr-old male with Hunter's syndrome presented with severe obstructive sleep apnoea syndrome (OSAS) and daytime respiratory failure. Continuous positive airway pressure (CPAP) therapy was initially ineffective and produced acute respiratory distress. Extensive Hunter's disease infiltration of the upper airway with a myxoma was confirmed. Following surgery to remove the myxoma at the level of the vocal cords, CPAP therapy was highly effective and well tolerated. This report demonstrates the necessity of evaluating fully the upper airway in patients with unusual variants of OSAS, particularly where the disease is not adequately controlled by CPAP.