A 75-year-old man, who was under treatment for bronchial asthma and hypertension in our hospital, complained about his snoring and daytime sleepiness. Polysomnography (PSG) was indicated. He was diagnosed as having a serious obstructive sleep apnea-hypopnea syndrome in April, 2003. Continuous positive airway pressure (CPAP) treatment was effective, and his symptoms waned. The CPAP treatment was discontinued at the end of October, because the patient, chief priest of a temple Buddhist, had to serve for 100 days as acting chief priest of another temple. He ate only meals prepared at the temple, and drinking and eating out were not done at all, and the eating habits were managed. He was told he is a trrible snorer, but was not aware of daytime sleepiness. In April 2004, PSG showed his condition turned a little better with AHI being 9.9/hour. After he returned to the original temple, a diet was continued. However, the AHI rose to 12.8 in November 2004-nine months after reinstatement. It was thought that differences in everyday life were responsible for the exacerbation of OSAHS despite the fact tha the showed an improvement just after he came back to his temple.
Priest ; Sleep Apnea, Obstructive ; Continuous positive airway pressure ventilation treatment ; Syndrome ; Disease remission