Obstructive Sleep Apnoea
2003; Springer Nature; Linguagem: Inglês
10.1007/978-3-642-59367-3_14
ISSN2197-4187
Autores Tópico(s)Sleep and Wakefulness Research
Resumo"Joe the fat boy" from The posthumous papers of the Pickwick Club (DICKENS 1837) is the most celebrated child with obstructive sleep apnoea in literature. DICKENS, a master of astute Observation, depicts Joe as "a fat and red-faced boy in State of somnolency" (Fig. 14.1). Joe was probably red-faced due to polycythaemia secondary to chronic hypoxia. The association between obesity and obstructive upper airway symptoms is now well known, but it is of more importance in adult medicine than in children. Although the relationship between adenotonsillar hypertrophy and a variety of manifestations of airway obstruction in children was recognised in the nineteenth Century (HILL 1889), it was not until the second half of the twentieth that GUILLEMINAULT published the first scientific reports which described in detail the Syndrome we now refer to as obstructive sleep apnoea (OSA) in children (GUILLEMINAULT et al. 1976,1981).
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