Publicação
A multidisciplinary approach to polycythemia secondary to obstructive sleep apnea : case report
| datacite.subject.fos | Ciências Médicas::Ciências da Saúde | |
| datacite.subject.sdg | 03:Saúde de Qualidade | |
| dc.contributor.author | Cebola, Pedro | |
| dc.contributor.author | Sousa, Susana | |
| dc.contributor.author | Moleirinho-Alves, Paula | |
| dc.contributor.author | Paço, João | |
| dc.contributor.author | Caroça, Cristina | |
| dc.date.accessioned | 2026-07-01T10:20:47Z | |
| dc.date.available | 2026-07-01T10:20:47Z | |
| dc.date.issued | 2026-04 | |
| dc.description.abstract | The present case is particularly challenging in this patient's polycythemia, which occurred without concomitant respiratory diseases and with nocturnal oxygen desaturation secondary to obstructive sleep apnea (OSA). A male patient with mild OSA (Apnea-Hypopnea Index (AHI) and = 14.8/h and minimum oxygen saturation of 82%), poor nasal function, and polycythemia secondary to OSA (initial hemoglobin (Hb), 18 g/dL; hematocrit (HCT), > 50%) underwent treatment with a continuous positive airway pressure machine (CPAP), resulting in complete resolution of respiratory events. The patient reported discomfort with CPAP, which led to drug-induced sleep endoscopy with a simultaneous polygraphy sleep test. We performed interstitial reduction of the inferior turbinates using radiofrequency and physiotherapy to improve CPAP adaptation. This surgery improved CPAP compliance without any discomfort. Within a two-month follow-up, we observed a decrease of Hb = 16.4 g/dL and HCT = 48%, being both currently stable. Multidisciplinary and complete patient diagnosis allows for an individualized and assertive approach to OSA. | eng |
| dc.identifier.citation | Cebola P, Sousa S, Moleirinho-Alves P, Paço J, Caroça C. A Multidisciplinary Approach to Polycythemia Secondary to Obstructive Sleep Apnea: Case Report. Gaz Med [Internet]. 2026 Jun. 11 ;13(2):162-7. Available from: https://gazetamedica.pt/index.php/gazeta/article/view/1043 | |
| dc.identifier.doi | 10.29315/gm.1043 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/63666 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | CUF | |
| dc.relation.hasversion | https://doi.org/10.29315/gm.1043 | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
| dc.subject | Polycythemia/etiology | |
| dc.subject | Sleep Apnea Obstructive/complications | |
| dc.subject | Sleep Apnea Obstructive/therapy | |
| dc.title | A multidisciplinary approach to polycythemia secondary to obstructive sleep apnea : case report | eng |
| dc.type | contribution to journal | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 167 | |
| oaire.citation.issue | 2 | |
| oaire.citation.startPage | 162 | |
| oaire.citation.title | Gazeta Médica | |
| oaire.citation.volume | 13 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |