A case of Pickwickian syndrome

Abstract

The diagnosis of Pickwickian Syndrome was established in a 64-year-old, height of 162 cm, body weight of 98 kg male patient associated with somnolence, cyanosis, periodic respiration, secondary polycythemia, right ventricular hypertrophy and right ventricular failure. These symptoms, manifestations and laboratory findings covered seven out of eight essential ones to establish the diagnosis of Pickwickian Syndrome. After weight reduction the patient showed significant improvement.