Antrochoanal polyp presenting with obstructive sleep apnoea and cachexia.
A rare presentation of an antrochoanal polyp is reported. A 14-year-old boy presented with obstructive sleep apnoea and subnormal growth velocity for height and weight over a 1-year period. Examination revealed a post-nasal mass which following removal was confirmed histopathologically as an antrochoanal polyp. Relief of the airway obstruction was promptly followed by catch-up growth and subsequent normal growth velocities. The possible mechanisms underlying the cachexia are explored including the possible association with the obstructive sleep apnoea.
Salib
R J
RJ
Department of Otolaryngology Head and Neck Surgery, Birmingham Children's Hospital, Birmingham, UK. rami.salib@virgin.net
Sadek
S A
SA
Dutt
S N
SN
Pearman
K
K
D000293:Adolescent; D002100:Cachexia / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006130:Growth Disorders / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D015508:Nasal Obstruction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D009298:Nasal Polyps / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery