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Clinical Pediatrics
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The "Chubby Puffer" Syndrome

Upper Airway Obstruction and Obesity, with Intermittent Somnolence and Cardiorespiratory Embarrassment

Sylvan E. Stool

Department of Otorhinolaryngology and Human Communication, University of Pennsylvania and The Children's Hospital of Philadelphia

Roland D. Eavey

Department of Otorhinolaryngology and Human Communication, University of Pennsylvania and The Children's Hospital of Philadelphia

Norman L. Stein

Department of Otorhinolaryngology and Human Communication, University of Pennsylvania and The Children's Hospital of Philadelphia

William G. Sharrar

Department of Otorhinolaryngology and Human Communication, University of Pennsylvania and The Children's Hospital of Philadelphia

Upper airway obstruction and obesity can produce cardiopulmonary dis tress in susceptible children. Three such children with chronic airway ob struction due to hypertrophied tonsillar and adenoidal tissue developed pronounced obesity, which in turn helped to provoke sleep alternations, cardiac signs, and abnormal arterial blood gas values. After tonsillectomy and adenoidectomy the symptoms were relieved.

Clinical Pediatrics, Vol. 16, No. 1, 43-50 (1977)
DOI: 10.1177/000992287701600108
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