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Czasopismo
2010 | 5 | 6 | 712-715
Tytuł artykułu

UARS presenting with the symptoms of anxiety and depression

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Upper airway resistance syndrome (UARS) is a condition where the apnea-hypopnea index is less than 5 and respiratory-effort related arousal index is more than 10. The clinical presentation of UARS may be the same as obstructive sleep apnea-hypopnea syndrome (OSAS); it sometimes shows up with symptoms hardly suggestive of a sleep-disordered breathing. A 17 year-old male patient had applied to a local psychiatry clinic and complained of chronic fatigue, insomnia, behavioral and academic problems and was treated for anxiety and depression. After a period of unresponsive treatment, he was sent to a sleep center for evaluation of insomnia, which turned out to be a fragmented, unrefreshing sleep episode. Polysomnographical evaluation revealed that he had UARS without OSAS. His complaints decreased dramatically after he received CPAP treatment. This case shows that UARS should be considered in young patients with functional somatic syndromes even if the clinical presentation does not apparently imply the condition.
Wydawca

Czasopismo
Rocznik
Tom
5
Numer
6
Strony
712-715
Opis fizyczny
Daty
wydano
2010-12-01
online
2010-10-07
Twórcy
  • Department of Pulmonary Diseases, GATA Haydarpasa Training Hospital, 34660, Uskudar Istanbul, Turkey, erkunter@hotmail.com
autor
  • Department of Pulmonary Diseases, Inonu University Medical Faculty, 44080, Malatya, Turkey
autor
  • Department of Pulmonary Diseases, Inonu University Medical Faculty, 44080, Malatya, Turkey
Bibliografia
  • [1] American Academy of Sleep Medicine. International Classification of Sleep Disorders, 2nd ed.: Diagnostic and coding manual. Westchester, Illinois: American Academy of Sleep Medicine, 2005
  • [2] Iber C., Ancoli-Israel S., Chesson A., Quan S.F., for the American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications, 1st ed.: Westchester, Illinois: American Academy of Sleep Medicine, 2007
  • [3] Wheatley J.R. Definition and diagnosis of upper airway resistance syndrome. Sleep 2000, 23(Suppl 4), 193–196 [WoS]
  • [4] Exar E.N., Collop N.A. The upper airway resistance syndrome. Chest 1999, 115, 1127–1139 http://dx.doi.org/10.1378/chest.115.4.1127[Crossref]
  • [5] Loube D.I., Andrada T.F. Comparison of respiratory polysomnographic parameters in matched cohorts of upper airway resistance and obstructive sleep apnea syndrome patients. Chest 1999, 115, 1519–1524 http://dx.doi.org/10.1378/chest.115.6.1519[Crossref]
  • [6] Kristo D.A., Lettieri C.J., Andrada T., Taylor Y., Eliasson A.H. Silent upper airway resistance syndrome: prevalence in a mixed military population. Chest 2005, 127, 1654–1657 http://dx.doi.org/10.1378/chest.127.5.1654[Crossref]
  • [7] Guilleminault C., Kirisoglu C., Povares D., Palombini L., Leger D., Farid-Moayer M., Ohayon M.M. Upper airway resistance syndrome: a long-term outcome study. J Psychiatr Res 2006, 40, 273–279 http://dx.doi.org/10.1016/j.jpsychires.2005.03.007[Crossref]
  • [8] Guilleminault C., Winkle R., Korobkin R., et al. Children and nocturnal sleeping: Evaluation of the effects of sleep related respiratory resistive load and daytime functioning. Eur J Pediatr 1982, 139, 165–171 http://dx.doi.org/10.1007/BF01377349[Crossref]
  • [9] Gold A.R., Dipalo F., Gold M.S., O’Hearn D. The symptoms and signs of upper airway resistance syndrome. A link to the functional somatic syndromes. Chest 2003, 123, 87–95 http://dx.doi.org/10.1378/chest.123.1.87[Crossref]
  • [10] Bao G., Guilleminault C. Upper airway resistance syndrome-one decade later. Curr Opin Pulm Med 2004, 10, 461–467 http://dx.doi.org/10.1097/01.mcp.0000143689.86819.c2[Crossref]
  • [11] Gold A.R., Dipalo F., Gold M.S., O’Hearn D. The symptoms and signs of upper airway resistance syndrome. Chest 2003, 123, 87–95 http://dx.doi.org/10.1378/chest.123.1.87[Crossref]
  • [12] Aaron L., Buchwald D. A review of the evidence for overlap among unexplained clinical conditions. Ann Intern Med 2001, 134, 868–881
  • [13] Wessely S., Nimnuan C., Sharpe M. Functional somatic syndromes: one or many? Lancet 1999, 354, 936–939 http://dx.doi.org/10.1016/S0140-6736(98)08320-2[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-009-0127-1
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