The clinical features of a 5-year-old patient with osteopetrosis and severe obstructive sleep apnea are presented. The patient responded to tonsillectomy, adenoidectomy, uvulectomy, and tracheostomy. The tracheostomy was later removed. Osteopetrosis, while rare, may be added to the list of causes of obstructive sleep apnea.
Get full access to this article
View all access options for this article.
References
1.
Teitelbaum SL , Coccia PF, Brown DM, Kahn, AJMalignant osteopetrosis: a disease of abnormal osteoclast proliferation. Metab Bone Dis Relat Res1981;3:99-105.
2.
Reeves JD, Huffer WE, August CS, et al. The hematopoietic effects of prednisone therapy in four infants with osteopetrosis. J Pediatr1979;94:210-4.
3.
Perks, WH, Cooper RA, Bradbury S., Horrocks P. et al. Sleep apnea in Scheie's syndrome. Thorax1980;35:85-91.
4.
Brouillette RT, Fernbach SK, Hunt CEObstructive sleep apnea in infants and children . J Pediatr1982;100:31-40.
5.
Stokes DC, Phillips JA, Leonard CO, Dorst JP, et al. Respiratory complications of achondroplasia. J Pediatr1983;102:534-41.
6.
Haponik EF, Smith PL, Bohlman ME, Allen RP et al. Computerized tomography in obstructive sleep apnea. Correlation of airway size with physiology during sleep and wakefulness. Am Rev Respir Dis1983;127:221-6.
7.
Rivlin J., Hoffstein V., Kalbfleisch J., McNicholas W., et al. Upper airway morphology in patients with idiopathic obstructive sleep apnea. Am Rev Respir Dis1984;129:355-60.
8.
Eliaschar I. , Lavie P., Halperin E., Gordon C., Alroy G.Sleep apneic episodes as indications for adenotonsillectomy . Arch Otolaryngol1980;106:492-6.
9.
Mezon BL, West P., Israels J., Kryger M.Sleep breathing abnormalities in kyphoscoliosis. Am Rev Resp Dis1980;122:617-21.
10.
Guilleminault C., Kurland G., Winkle R., Miles LESevere kyphoscoliosis, breathing and sleep: the "Quasimodo" syndrome during sleep. Chest1981; 79:626-30,
11.
Mallory SB, Paradise JLGlossoptosis revisited: on the development and resolution of airway obstruction in the Pierre Robin syndromes. Pediatrics1979;64:946-8.
12.
Johnson C., Taussig LM, Koopman C., et al. Obstructive sleep apnea in Treacher-Collins syndrome. Cleft Palate J1981;18:39.
13.
Anders TF, Carskudon MA, Dement WCSleep and sleepiness in children and adolescents. Pediatr Clin N Am1980;27:29-43.
14.
Mark JD, Brooks JGSleep-associated airway problems in children. Pediatr Clin N Am1981;31:907-18.
15.
Shapiro J., Strome M., Crocker ACAirway obstruction and sleep apnea in hurler and hunter syndromes. Ann Otol Rhinol Laryngol1985;94:458-61.
