title: Severe non-obstructive sleep disturbance as an initial presentation of gastroesophageal reflux disease.
abstract: A 2.5-year-old child presented with a sleep disturbance initially diagnosed as a behavioral problem. The child had several atypical symptoms of gastroesophageal reflux disease (GERD). The sleep disturbance resolved quickly after treatment of GERD. GERD is a disease with protean manifestations which is becoming of greater interest to the pediatric otolaryngologist. We discuss diagnosis of this entity.
authors.affiliation: Department of Pediatric Otolaryngology, State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Children's Hospital of Buffalo, Kaleida Health Corporation, NY 14222, USA. mm.carr@utoronto.ca
authors.forename: M M
authors.initials: MM
authors.lastname: Carr
authors.forename: L
authors.initials: L
authors.lastname: Brodsky
mesh_terms: D002653:Child Behavior Disorders / Q000175:diagnosis; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology; D004942:Esophagitis, Peptic / Q000209:etiology; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000601:surgery; D006801:Humans; D007818:Laryngeal Diseases / Q000209:etiology; D008297:Male; D012893:Sleep Wake Disorders / Q000209:etiology*; D014827:Vocal Cords / Q000473:pathology