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Reversal of Sleep Apnea in Uremia by Dialysis
Alan M. Fein, MD;
Michael S. Niederman, MD;
Louis Imbriano, MD;
Howard Rosen
Arch Intern Med. 1987;147(7):1355-1356.
Abstract
• Obstructive sleep apnea (OSA) is a common syndrome occurring in 1% to 4% of the population. While obesity is the most common predisposition to OSA, metabolic disorders have been associated with this syndrome. We describe a patient who presented with severe OSA while in an advanced untreated uremic state, which resolved following intensive dialysis. We speculate that the sleep disturbances, which are common in uremia, may be accounted for in some patients by OSA and may resolve with specific therapy for advanced renal failure.
(Arch Intern Med 1987;147:1355-1356)
Author Affiliations
From the Pulmonary and Critical Care Medicine Division, State University of New York at Stony Brook Health Sciences Center and Winthrop University Hospital, Mineola, NY (Drs Fein and Niederman and Mr Rosen), and Nephrology Division, Winthrop University Hospital (Dr Imbriano).
Footnotes
Accepted for publication May 7, 1987.
Reprint requests to Pulmonary and Critical Care Medicine Division, Winthrop University Hospital, 259 First St, Mineola, NY 11501 (Dr Fein).
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