Primary snoring and growth failure in a patient with cystic fibrosis

Kelvin Macdonald, Brian M. McGinley, David J. Brown, Laura M. Sterni, Beryl J. Rosenstein, Peter J. Mogayzel

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

An 8-year-old female with pancreatic-insufficiency cystic fibrosis presented with recurrent pharyngitis, and reduction in body mass index and height velocity during the previous 2 years. Her symptoms (eg, snoring and restless sleep) suggested obstructive sleep apnea, and physical examination revealed tonsillar hypertrophy. While her respiratory disturbance index on nocturnal polysomnography was normal, there was evidence of prolonged periods of snoring, associated with hypercapnia. Adenotonsillectomy decreased the snoring, improved her sleep, and in the 18-month follow-up period she had substantial weight-gain and growth improvement. This case demonstrates that adenotonsillar hypertrophy associated with recurrent pharyngitis and primary snoring might hinder growth in a patient with cystic fibrosis.

Original languageEnglish (US)
Pages (from-to)1727-1731
Number of pages5
JournalRespiratory Care
Volume54
Issue number12
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Snoring
Cystic Fibrosis
Pharyngitis
Growth
Hypertrophy
Sleep
Exocrine Pancreatic Insufficiency
Hypercapnia
Polysomnography
Obstructive Sleep Apnea
Physical Examination
Weight Gain
Body Mass Index

Keywords

  • Adenotonsillectomy
  • Cystic fibrosis
  • Growth
  • Obstructive sleep apnea
  • Pancreatic insufficiency
  • Pharyngitis
  • Sleep disturbance
  • Snoring
  • Somnography
  • Tonsillar hypertrophy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Macdonald, K., McGinley, B. M., Brown, D. J., Sterni, L. M., Rosenstein, B. J., & Mogayzel, P. J. (2009). Primary snoring and growth failure in a patient with cystic fibrosis. Respiratory Care, 54(12), 1727-1731.

Primary snoring and growth failure in a patient with cystic fibrosis. / Macdonald, Kelvin; McGinley, Brian M.; Brown, David J.; Sterni, Laura M.; Rosenstein, Beryl J.; Mogayzel, Peter J.

In: Respiratory Care, Vol. 54, No. 12, 12.2009, p. 1727-1731.

Research output: Contribution to journalArticle

Macdonald, K, McGinley, BM, Brown, DJ, Sterni, LM, Rosenstein, BJ & Mogayzel, PJ 2009, 'Primary snoring and growth failure in a patient with cystic fibrosis', Respiratory Care, vol. 54, no. 12, pp. 1727-1731.
Macdonald K, McGinley BM, Brown DJ, Sterni LM, Rosenstein BJ, Mogayzel PJ. Primary snoring and growth failure in a patient with cystic fibrosis. Respiratory Care. 2009 Dec;54(12):1727-1731.
Macdonald, Kelvin ; McGinley, Brian M. ; Brown, David J. ; Sterni, Laura M. ; Rosenstein, Beryl J. ; Mogayzel, Peter J. / Primary snoring and growth failure in a patient with cystic fibrosis. In: Respiratory Care. 2009 ; Vol. 54, No. 12. pp. 1727-1731.
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