The "Chubby Puffer" Syndrome

Abstract
Upper airway obstruction and obesity can produce cardiopulmonary dis tress in susceptible children. Three such children with chronic airway ob struction due to hypertrophied tonsillar and adenoidal tissue developed pronounced obesity, which in turn helped to provoke sleep alternations, cardiac signs, and abnormal arterial blood gas values. After tonsillectomy and adenoidectomy the symptoms were relieved.