Diaphragmatic Dysfunction without Paradoxical Breathing: A Case of Nemaline Myopathy
Journal Title: Pulmonary Research and Respiratory Medicine – Open Journal - Year 2017, Vol 0, Issue 1
Abstract
A 35-year-old woman was admitted to this hospital because of worsening shortness of breath and productive cough for 3 days. Her past medical history was remarkable for Namaland sympathy, which was diagnosed at the age of 4 by muscle biopsy as she developed muscle weakness with Gower’s sign. For 3 years prior to this admission, she had been suffering from recurrent pneumonia, likely due to aspiration due to impaired bulbar functions along with her muscle weakness. Obstructive Sleep Apnea (OSA) was suspected as she complained of morning headache, daytime fatigue and night sweats and the diagnosis was confirmed by overnight polysomnography with severe obstructive sleep apnea (OSA) with AHI of 46.2 events per hour 2 years ago, which had been treated by Bi-level Positive Airway Pressure (BIPAP). Echocardiography was normal except for mild elevation in pulmonary arterial mean pressure.
Authors and Affiliations
Takeshi Saraya
Keywords
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- EP ID EP560159
- DOI 10.17140/PRRMOJ-SE-1-108
- Views 124
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