Pure Progressive Autonomic Failure Presenting Severe Orthostatic Hypotension.

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概要

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• A 59-year-old woman showed chronic progressive autonomic failure consisting of orthostatic hypotension and dyshidrosis. No signs of Parkinsonism, cerebellar or peripheral neuropathy were observed. Autonomic nervous function tests and findings of biopsied sural nerve suggested that this case had both sympathetic and parasympathetic dysfunctions, mainly postganglionic. A decrease in the total peripheral resistance and no increase in the heart rate on standing seemed to be the mechanism of orthostatic hypotension in this case. We conclude that pure PAF can be recognized as a distinct clinical syndrome of systematic degeneration of the autonomic nervous system.(Internal Medicine 32: 122-127, 1993)

• 社団法人　日本内科学会の論文

著者

• MAEDA Toshihiro

  the First Department of Internal Medicine, Medical College of Oita

• SAIKAWA Tetsunori

  the First Department of Internal Medicine, Medical College of Oita

• SAIKAWA Tetsunori

  the First Department of Internal Medicine, Oita Medical University

• AKIMITSU Tadafumi

  the First Department of Internal Medicine, Oita Medical University

• HARA Masahide

  the First Department of Internal Medicine, Oita Medical University

• TAKAKI Ryosaburou

  the First Department of Internal Medicine, Oita Medical University

• SANNOMIYA Kunihiro

  Third Department of Internal Medicine, Oita Medical University

• OKAJIMA Toru

  Third Department of Internal Medicine, Oita Medical University

関連論文

• Allergic Granulomatosis and Angiitis with Severe Cardiac Disease: A Case in Which Cardiac Function was Extremely Improved by Long-Term Steroid Therapy.
• Pure Progressive Autonomic Failure Presenting Severe Orthostatic Hypotension.

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