Published online August 31, 2005
PEDIATRICS Vol. 116 No. 3 September 2005, pp. 799-800 (doi:10.1542/peds.2005-1261)
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Enuresis and Sleep Apnea

Lee J. Brooks, MD
Division of Pulmonary Medicine
Children's Hospital of Philadelphia
University of Pennsylvania
Philadelphia, PA 19104

To the Editor.—

The recent article by Robson et al1 describing presentation of primary and secondary enuresis provides some important new data on this common pediatric problem. However, obstructive sleep apnea is mentioned in passing as "a common reported cause of secondary nocturnal enuresis." Obstructive sleep apnea is associated with both primary and secondary enuresis2 as well as attention-deficit/hyperactivity disorder. We suggest that all patients with enuresis be queried regarding the presence and severity of snoring and the quality of their sleep to determine if overnight polysomnography might be helpful in diagnosing this readily treatable disorder.

REFERENCES

  1. Robson WLM, Leung AKC, Van Howe R. Primary and secondary nocturnal enuresis: similarities in presentation. Pediatrics. 2005;115 :956 –959[Abstract/Free Full Text]
  2. Brooks LJ, Topol HI. Enuresis in children with sleep apnea. J Pediatr. 2003;142 :515 –518[CrossRef][Web of Science][Medline]
PEDIATRICS (ISSN 1098-4275). ©2005 by the American Academy of Pediatrics

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