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Pediatric pycnodysostosis complicated by severe obstructive sleep apnea: a case report
Islam Tarik1, Farah Makhloufi2, Chafiq Mahraoui1
1Department of Pediatric Infectious Diseases and Pneumo-Allergology - Pediatric I - Children's Hospital of Rabat, University Hospital Center Ibn Sina, Rabat, Morocco.
Insights
Pycnodysostosis, a rare genetic bone disorder, can be associated with severe obstructive sleep apnea syndrome (OSAS). Early polysomnography screening is crucial for managing this nocturnal respiratory impairment in affected children.
Area of Science:
- Genetics
- Pediatrics
- Sleep Medicine
Background:
- Pycnodysostosis is a rare genetic disorder caused by CTSK gene mutations, leading to osteoclast dysfunction and skeletal abnormalities.
- This case involves a child diagnosed with pycnodysostosis presenting with severe obstructive sleep apnea syndrome (OSAS).
Background:
Pycnodysostosis is a rare genetic bone disorder linked to mutations in the CTSK gene, which causes osteoclast dysfunction. We report the case of a child with pycnodysostosis complicated by severe obstructive sleep apnea syndrome (OSAS).
Case Presentation:
The patient was a 9-years-old girl born to consanguineous parents. Clinical examination revealed short stature, characteristic facial features, acromicria, and several skeletal abnormalities. X-rays revealed diffuse osteosclerosis associated with bone abnormalities characteristic of pycnodysostosis. Polysomnography confirmed severe OSA, with an apnea-hypopnea index (AHI) of 49.8 events per hour.
Conclusion:
This observation highlights the association between pycnodysostosis and nocturnal respiratory impairment, and underscores the importance of systematic screening for sleep-disordered breathing by polysomnography in these patients. Management is based on a multidisciplinary approach and long-term follow-up in order to optimize the functional prognosis and quality of life of patients and their families.
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