A retrospective study was conducted in 198 patients suspected to have OSA at a tertiary centre in Mumbai. The pretest probability for the presence of OSAS was performed using Sleep Apnea Clinical Score (SACS).SACS score was calculated as: Snoring 3 points, Apnea 3 points, Neck Circumference in centimeters, Systemic Hypertension 4 points. Risk stratification of SACS score was done as < 43 low risk, 43-48 moderate risk, >48 high risk. A diagnosis of OSAS was done by using the criteria laid down by American Academy of Sleep Medicine (AASM). Polysomnography (PSG) showing AHI of 5 or more was considered as diagnostic of OSA. A correlation was established between SACS and OSA using Chi square test. 29/51(56.8%) did not have OSA when their SACS score was low. 53/81(65.43%) had OSA when their SACS score was moderate. With high SACS score 56/66 (84.84%) showed presence of OSA. Overall moderate to high SACS score was able to predict OSA in 109/147 (74.15%). The correlation between SACS score and presence of OSA was highly significant (p value = 0.0000137).
AbstractsAllergic Bronchopulmonary Aspergillosis (ABPA) is an under diagnosed respiratory condition, which very often masquerades as Bronchial Asthma and results in a delay in identification and subsequent treatment. It is one of the components of the spectrum of aspergillosis -which is a group of diseases caused by the fungi Aspergillus fumigatus. It occurs due to an exaggerated response of the immune system to the fungi. It has a wide variety of presentations, most commonly occurring as fleeting opacities on chest x rays. We present an interesting case of ABPA having a unique presentation.
Neurofibromatosis is an inherited disease, having a predilection for tumour formation. [1] These diseases were previously referred to as "phakomatoses" or neurocutaneous syndromes. The clinical spectrum of these diseases usually involves the nervous, locomotor and cutaneous systems. However the involvement of the nervous system is very dangerous, and is often the leading cause of mortality in this condition. It disturbs cell growth in the nervous system which leads to the formation of tumours, either malignant or benign, on nerve tissue. The involvement of the respiratory system in these patients is very rare. We present an interesting case of a patient with neurofibromatosis induced diffuse parenchymal lung disease.
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