title: Obstructive sleep apnoea and arthrogryposis.
abstract: Arthrogryposis is a rare condition characterised by multiple congenital joint contractures. We present a case of a 10-year-old child with arthrogryposis and snoring. Polysomnography revealed significant obstructive sleep apnoea and hypoventilation that improved but did not completely resolve with adenotonsillectomy. With continuous positive airway pressure (CPAP) therapy, there was full resolution of all sleep disordered breathing. Initially, the patient admitted to difficulty tolerating nasal CPAP at home. However, she steadily improved adherence to therapy and admitted that with nasal CPAP use for the whole night, she felt more energised during the daytime.
authors.affiliation: Department of Pediatrics, Division of Pediatric Pulmonology, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Jon
authors.affiliation: Department of Pediatrics, Division of Pediatric Pulmonology, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
authors.forename: Ricardo Alberto
authors.initials: RA
authors.lastname: Mosquera
authors.affiliation: Pediatric Sleep Center, Memorial Hermann Memorial City, Houston, Texas, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Mitchell
authors.affiliation: Department of Pediatrics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
authors.forename: Lynnette J
authors.initials: LJ
authors.lastname: Mazur
mesh_terms: D001176:Arthrogryposis / Q000150:complications*; D002648:Child; D045422:Continuous Positive Airway Pressure; D005260:Female; D006801:Humans; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000175:diagnosis / Q000628:therapy