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Published 2 February 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.09.2008.0946]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Central hypoventilation with PHOX2B expansion mutation presenting in adulthood

Shaney Barratt, Adrian Kendrick, Fiona Buchanan, Adam Whittle

Bristol Royal Infirmary, Respiratory Medicine, Upper Maudlin Street, Bristol, BS2 8HW, UK

Correspondence to:
adam.whittle{at}UHBristol.nhs.uk

SUMMARY

The case history is described of a 41 year old male who presented with acute-on-chronic respiratory failure due to PHOX2B mutation-associated central hypoventilation with a quantified impaired response to hypercapnia. He was successfully treated with non-invasive ventilation, which has been continued nocturnally at home.


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