[Clinical Picture] Obstructive sleep apnoea as a presenting manifestation of non-Hodgkin lymphoma in a child

A 14-year-old previously healthy adolescent male patient presented at Rady Children's Hospital (San Diego, CA, USA) in July, 2016, with a history of worsening snoring, recurrent nocturnal awakenings, and daytime somnolence over an 8-month period. Notably, the patient was not overweight or obese; by contrast, he had experienced a weight loss of 7 kg during the same time period. He did not complain of nausea, vomiting, diarrhoea, abdominal pain, dysphagia, or anorexia. Physical examination revealed enlarged tonsils (grade 4, with the left tonsil enlarged more than the right) with deviation of the uvula towards the right.

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