Children’s Hospital at Lehigh Valley,
1210 S. Cedar Crest Blvd., Suite 2400, Allentown, PA-18103-6229
Tanzania
Case Report
A Pediatric Patient with Idiopathic Short Stature Who Developed Obstructive Sleep Apnea after Starting Growth Hormone Replacement Therapy
Author(s): Morkous SSMorkous SS
Background: Growth hormone (GH) therapy has long been suspected to induce obstructive sleep apnea (OSA) in children and adults. Moreover, reports about GH-associated sudden death in children with Prader-Willi syndrome (PWS) have prompted concerns about GH worsening sleep apnea. Previous studies have supported routine polysomnography for children with PWS prior to starting GH treatments, regardless of clinical history. However, there are no established guidelines recommending routine polysomnography (PSG) prior to the commencement of GH therapy in other pediatric patients.
Case description: We report a case of a 15-year-old young man with intractable headaches, referred to the sleep clinic to rule out any sleep-related variables. After an initial non-significant (mild snoring) sleep study, the patient returned with worsening snoring about one ye.. Read More»
DOI:
10.4172/1747-0862.1000307
Molecular and Genetic Medicine received 3919 citations as per Google Scholar report