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Pulmonary, Critical Care, and Sleep Pearls |

A 51-Year-Old Woman With Hypoacusia and Increased Respiratory Effort in the Supine Position and OSA

Marcos Fernández-Barriales, MD; Virginia Vázquez Marcos, MD; Ainhoa Álvarez, MD; Beatriz Odriozola, MD; Juan Alonso, MD; Carlos Egea Santaolalla, MD
Author and Funding Information

aOral and Maxillofacial Surgery Department and Sleep Disorders Department, Araba University Hospital, Vitoria-Gasteiz, Spain

bOral and Maxillofacial Surgery Department, Araba University Hospital, Vitoria-Gasteiz, Spain

cSleep Disorders Department, Araba University Hospital, Vitoria-Gasteiz, Spain

dOtorhinolaringology Department, Araba University Hospital, Vitoria-Gasteiz, Spain

CORRESPONDENCE TO: Marcos Fernández-Barriales, MD, Oral and Maxillofacial Surgery Department and Sleep Disorders Department, Araba University Hospital, C/Olaguíbel, 29 (01004 Vitoria-Gasteiz), Spain


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(2):e59-e64. doi:10.1016/j.chest.2016.02.686
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A 51-year-old woman with a personal history of vitiligo, normal thyroid hormone studies, a simple hysterectomy for multiple uterine myomas at age 35 years, and childhood adenotonsillectomy was seen for progressive hearing loss. She reported mild asthenia, cold intolerance, mild dysphagia with frequent choking while eating and drinking, and a progressive increase in inspiratory effort, especially in the supine position. Her partner described a progressively worsening history of snoring and witnessed apneic episodes, mostly in the supine position. Mild to moderate daytime sleepiness was also present.

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