Prevalence of obstructive sleep apnea in patients with mucopolysaccharidosis types I, II, and VI in a reference center

Purpose Mucopolysaccharidosis (MPS) encompasses a group of rare lysosomal storage disorders that are associated with the accumulation of glycosaminoglycans in organs and tissues. Respiratory disorders occur in all MPS types. In these patients, the prevalence of obstructive sleep apnea syndrome (OSAS...

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Veröffentlicht in:Sleep & breathing 2014-12, Vol.18 (4), p.791-797
Hauptverfasser: Moreira, Gustavo A., Kyosen, Sandra O., Patti, Camilla L., Martins, Ana Maria, Tufik, Sergio
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container_issue 4
container_start_page 791
container_title Sleep & breathing
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creator Moreira, Gustavo A.
Kyosen, Sandra O.
Patti, Camilla L.
Martins, Ana Maria
Tufik, Sergio
description Purpose Mucopolysaccharidosis (MPS) encompasses a group of rare lysosomal storage disorders that are associated with the accumulation of glycosaminoglycans in organs and tissues. Respiratory disorders occur in all MPS types. In these patients, the prevalence of obstructive sleep apnea syndrome (OSAS), which may confer additional morbidity, remains overlooked, and the results of the few existing studies are controversial. The present study aimed to characterize the prevalence of OSAS in patients with MPS types I, II, and VI in a reference center. Methods Forty-five patients with MPS (I, n  = 17; II, n  = 16; and VI; n  = 12) in the Centro de Referência em Erros Inatos do Metabolismo, who underwent full-night polysomnography, were enrolled in a retrospective study. Demographic data and clinical history were collected from medical records of the first medical consultation. Results The prevalence of OSAS in patients with MPS was 69.8 %. MPS type I patients seemed to be more susceptible to OSA-induced hypoxemia, as indicated by reduced mean SpO 2 levels during both NREM and rapid eye movement sleep as well as during SpO 2 nadir. Conclusions Patients with MPS displayed a high prevalence of OSAS, often with moderate to high severity. Together, our results reinforce the need for OSAS screening in all patients with MPS.
doi_str_mv 10.1007/s11325-014-0944-6
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Respiratory disorders occur in all MPS types. In these patients, the prevalence of obstructive sleep apnea syndrome (OSAS), which may confer additional morbidity, remains overlooked, and the results of the few existing studies are controversial. The present study aimed to characterize the prevalence of OSAS in patients with MPS types I, II, and VI in a reference center. Methods Forty-five patients with MPS (I, n  = 17; II, n  = 16; and VI; n  = 12) in the Centro de Referência em Erros Inatos do Metabolismo, who underwent full-night polysomnography, were enrolled in a retrospective study. Demographic data and clinical history were collected from medical records of the first medical consultation. Results The prevalence of OSAS in patients with MPS was 69.8 %. MPS type I patients seemed to be more susceptible to OSA-induced hypoxemia, as indicated by reduced mean SpO 2 levels during both NREM and rapid eye movement sleep as well as during SpO 2 nadir. Conclusions Patients with MPS displayed a high prevalence of OSAS, often with moderate to high severity. Together, our results reinforce the need for OSAS screening in all patients with MPS.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-014-0944-6</identifier><identifier>PMID: 24705807</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Biological and medical sciences ; Brazil ; Carbohydrates (enzymatic deficiencies). Glycogenosis ; Child ; Child, Preschool ; Comorbidity ; Cross-Sectional Studies ; Dentistry ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Errors of metabolism ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Hypoxia ; Infant ; Internal Medicine ; Male ; Medical sciences ; Medical screening ; Medicine ; Medicine &amp; Public Health ; Metabolic diseases ; Metabolism ; Mucopolysaccharidosis I - diagnosis ; Mucopolysaccharidosis I - epidemiology ; Mucopolysaccharidosis II - diagnosis ; Mucopolysaccharidosis II - epidemiology ; Mucopolysaccharidosis VI - diagnosis ; Mucopolysaccharidosis VI - epidemiology ; Nervous system (semeiology, syndromes) ; Neurology ; Original Article ; Otorhinolaryngology ; Pediatrics ; Pneumology ; Pneumology/Respiratory System ; Polysomnography ; Respiration ; Respiratory system : syndromes and miscellaneous diseases ; Retrospective Studies ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - epidemiology ; Sleep disorders ; Sleep. 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Respiratory disorders occur in all MPS types. In these patients, the prevalence of obstructive sleep apnea syndrome (OSAS), which may confer additional morbidity, remains overlooked, and the results of the few existing studies are controversial. The present study aimed to characterize the prevalence of OSAS in patients with MPS types I, II, and VI in a reference center. Methods Forty-five patients with MPS (I, n  = 17; II, n  = 16; and VI; n  = 12) in the Centro de Referência em Erros Inatos do Metabolismo, who underwent full-night polysomnography, were enrolled in a retrospective study. Demographic data and clinical history were collected from medical records of the first medical consultation. Results The prevalence of OSAS in patients with MPS was 69.8 %. MPS type I patients seemed to be more susceptible to OSA-induced hypoxemia, as indicated by reduced mean SpO 2 levels during both NREM and rapid eye movement sleep as well as during SpO 2 nadir. Conclusions Patients with MPS displayed a high prevalence of OSAS, often with moderate to high severity. Together, our results reinforce the need for OSAS screening in all patients with MPS.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Brazil</subject><subject>Carbohydrates (enzymatic deficiencies). Glycogenosis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Dentistry</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Errors of metabolism</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Infant</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic diseases</subject><subject>Metabolism</subject><subject>Mucopolysaccharidosis I - diagnosis</subject><subject>Mucopolysaccharidosis I - epidemiology</subject><subject>Mucopolysaccharidosis II - diagnosis</subject><subject>Mucopolysaccharidosis II - epidemiology</subject><subject>Mucopolysaccharidosis VI - diagnosis</subject><subject>Mucopolysaccharidosis VI - epidemiology</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology</subject><subject>Pneumology/Respiratory System</subject><subject>Polysomnography</subject><subject>Respiration</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Retrospective Studies</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Sleep disorders</subject><subject>Sleep. 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Glycogenosis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Dentistry</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Errors of metabolism</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>Infant</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolic diseases</topic><topic>Metabolism</topic><topic>Mucopolysaccharidosis I - diagnosis</topic><topic>Mucopolysaccharidosis I - epidemiology</topic><topic>Mucopolysaccharidosis II - diagnosis</topic><topic>Mucopolysaccharidosis II - epidemiology</topic><topic>Mucopolysaccharidosis VI - diagnosis</topic><topic>Mucopolysaccharidosis VI - epidemiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Pneumology</topic><topic>Pneumology/Respiratory System</topic><topic>Polysomnography</topic><topic>Respiration</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Retrospective Studies</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Sleep disorders</topic><topic>Sleep. Vigilance</topic><topic>Vertebrates: nervous system and sense organs</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreira, Gustavo A.</creatorcontrib><creatorcontrib>Kyosen, Sandra O.</creatorcontrib><creatorcontrib>Patti, Camilla L.</creatorcontrib><creatorcontrib>Martins, Ana Maria</creatorcontrib><creatorcontrib>Tufik, Sergio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep &amp; breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira, Gustavo A.</au><au>Kyosen, Sandra O.</au><au>Patti, Camilla L.</au><au>Martins, Ana Maria</au><au>Tufik, Sergio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of obstructive sleep apnea in patients with mucopolysaccharidosis types I, II, and VI in a reference center</atitle><jtitle>Sleep &amp; breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>18</volume><issue>4</issue><spage>791</spage><epage>797</epage><pages>791-797</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Purpose Mucopolysaccharidosis (MPS) encompasses a group of rare lysosomal storage disorders that are associated with the accumulation of glycosaminoglycans in organs and tissues. Respiratory disorders occur in all MPS types. In these patients, the prevalence of obstructive sleep apnea syndrome (OSAS), which may confer additional morbidity, remains overlooked, and the results of the few existing studies are controversial. The present study aimed to characterize the prevalence of OSAS in patients with MPS types I, II, and VI in a reference center. Methods Forty-five patients with MPS (I, n  = 17; II, n  = 16; and VI; n  = 12) in the Centro de Referência em Erros Inatos do Metabolismo, who underwent full-night polysomnography, were enrolled in a retrospective study. Demographic data and clinical history were collected from medical records of the first medical consultation. Results The prevalence of OSAS in patients with MPS was 69.8 %. MPS type I patients seemed to be more susceptible to OSA-induced hypoxemia, as indicated by reduced mean SpO 2 levels during both NREM and rapid eye movement sleep as well as during SpO 2 nadir. Conclusions Patients with MPS displayed a high prevalence of OSAS, often with moderate to high severity. Together, our results reinforce the need for OSAS screening in all patients with MPS.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24705807</pmid><doi>10.1007/s11325-014-0944-6</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Biological and medical sciences
Brazil
Carbohydrates (enzymatic deficiencies). Glycogenosis
Child
Child, Preschool
Comorbidity
Cross-Sectional Studies
Dentistry
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Errors of metabolism
Female
Fundamental and applied biological sciences. Psychology
Humans
Hypoxia
Infant
Internal Medicine
Male
Medical sciences
Medical screening
Medicine
Medicine & Public Health
Metabolic diseases
Metabolism
Mucopolysaccharidosis I - diagnosis
Mucopolysaccharidosis I - epidemiology
Mucopolysaccharidosis II - diagnosis
Mucopolysaccharidosis II - epidemiology
Mucopolysaccharidosis VI - diagnosis
Mucopolysaccharidosis VI - epidemiology
Nervous system (semeiology, syndromes)
Neurology
Original Article
Otorhinolaryngology
Pediatrics
Pneumology
Pneumology/Respiratory System
Polysomnography
Respiration
Respiratory system : syndromes and miscellaneous diseases
Retrospective Studies
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - epidemiology
Sleep disorders
Sleep. Vigilance
Vertebrates: nervous system and sense organs
Young Adult
title Prevalence of obstructive sleep apnea in patients with mucopolysaccharidosis types I, II, and VI in a reference center
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