title: Severe obstructive sleep apnoea due to adenotonsillar hypertrophy after liver transplantation.
abstract: Epstein-Barr virus-related adenotonsillar hypertrophy is a precursor to post-transplantation lymphoproliferative disorder. We report a case of a 4-year-old child with severe obstructive sleep apnoea, who had liver transplantation at the age of 7 months. She had gross lymphoid hypertrophy in the oropharynx and supraglottis. We performed an adenotonsillectomy and aryepiglottoplasty which improved her symptoms. We emphasise the importance to consider the diagnosis of post-transplantation lymphoproliferative disorder in post-transplantation immunosuppressed patients who present with adenotonsillar hypertrophy.
authors.affiliation: Department of ENT Surgery, Leeds General Infirmary, Leeds, UK. omarmulla22@gmail.com
authors.forename: Omar
authors.initials: O
authors.lastname: Mulla
authors.forename: Yogesh
authors.initials: Y
authors.lastname: Bajaj
authors.forename: Lindsey
authors.initials: L
authors.lastname: Knight
mesh_terms: D000234:Adenoids / Q000473:pathology*; D002675:Child, Preschool; D020031:Epstein-Barr Virus Infections / Q000150:complications*; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000209:etiology; D016031:Liver Transplantation; D014066:Palatine Tonsil / Q000473:pathology*; D011183:Postoperative Complications / Q000209:etiology*; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000209:etiology*