title: Mycosis fungoides as a cause of severe obstructive sleep apnea.
abstract: We report the case of a 38-year-old woman, affected by a cutaneous form of mycosis fungoides (MF) who presented with a history of loud snoring associated with sleep apnea. A polysomnographic study confirmed the presence of severe obstructive sleep apnea syndrome (OSAS). Cranial and neck MRI revealed a neoplastic infiltration of the tongue base and the posterior pharynx wall. Upper airway neoplastic infiltration is rarely reported as a cause of OSAS and extra-cutaneous localizations of MF are uncommon. This is the first case in the literature of a patient with nocturnal polysomnogram documented OSAS caused by a mucosal involvement of MF.
authors.affiliation: Department of Neuroscience, Catholic University, Italy. mluigetti@gmail.com
authors.forename: Marco
authors.initials: M
authors.lastname: Luigetti
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cianfoni
authors.forename: Emanuele
authors.initials: E
authors.lastname: Scarano
authors.forename: Luca
authors.initials: L
authors.lastname: Laurenti
authors.forename: Idanna
authors.initials: I
authors.lastname: Innocenti
authors.forename: Elisa
authors.initials: E
authors.lastname: Testani
authors.forename: Serena
authors.initials: S
authors.lastname: Dittoni
authors.forename: Giacomo
authors.initials: G
authors.lastname: Della Marca
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009182:Mycosis Fungoides / Q000150:complications / Q000175:diagnosis*; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000150:complications / Q000175:diagnosis*; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000209:etiology; D012913:Snoring / Q000175:diagnosis / Q000209:etiology