Abstract
Four of the 708 snorers (0.56%), referred to our sleep breathing disorders clinic for the past 2 years were diagnosed as having narcolepsy-cataplexy. Detecting HLA DRB1*1501/DQB1*0602 positive was informative for differentiating genuine narcolepsy from non-sleep apnea syndrome (non-SAS) hypersomnia in our clinic. A non-SAS obese boy, diagnosed as having essential hypersomnia syndrome, was found to be HLA DRB1*1502/DQB1*0601 positive. His hypocretin concentration was 206 pg/mL in the cerebrospinal fluid.
MeSH terms
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Adolescent
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Adult
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Aged
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Ambulatory Care Facilities
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Carrier Proteins / cerebrospinal fluid
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Disorders of Excessive Somnolence / complications*
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Disorders of Excessive Somnolence / epidemiology*
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Disorders of Excessive Somnolence / immunology
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Female
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HLA-DQ Antigens / immunology
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HLA-DQ beta-Chains
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HLA-DR Antigens / immunology
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HLA-DRB1 Chains
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Humans
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Intracellular Signaling Peptides and Proteins*
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Male
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Middle Aged
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Narcolepsy / complications*
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Narcolepsy / epidemiology*
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Narcolepsy / immunology
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Neuropeptides / cerebrospinal fluid
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Orexins
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Sleep Apnea Syndromes / complications*
Substances
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Carrier Proteins
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HLA-DQ Antigens
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HLA-DQ beta-Chains
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HLA-DQB1 antigen
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HLA-DR Antigens
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HLA-DRB1 Chains
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Intracellular Signaling Peptides and Proteins
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Neuropeptides
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Orexins