Isolated autonomic cardiovascular neuropathy in a patient with primary Sjogren syndrome: A case of successful treatment with glucocorticoid

被引：4

作者：

Shimoyama, M ^{[1
]}

Ohtahara, A ^{[1
]}

Okamura, T ^{[1
]}

Watanabe, M ^{[1
]}

Fujimoto, Y ^{[1
]}

Teshima, S ^{[1
]}

Takeda, S ^{[1
]}

Hisatome, I ^{[1
]}

Shigamasa, C ^{[1
]}

机构：

[1] Tottori Univ, Fac Med, Dept Med 1, Yonago, Tottori 6838504, Japan

来源：

AMERICAN JOURNAL OF THE MEDICAL SCIENCES | 2002年 / 324卷 / 03期

关键词：

autonomic cardiovascular neuropathy; Sjogren syndrome; glucocorticoid therapy;

D O I：

10.1097/00000441-200209000-00010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Autonomic failure is rare in patients with Sjogren syndrome (SS). We report the case of a 46-year-old woman with severe autonomic cardiovascular failure, manifested by incapacitating postural hypotension, as the first symptom of primary SS. Treatment with glucocorticoid resulted in a dramatic improvement of her symptoms and objective findings of autonomic cardiovascular dysfunction. We suggest that SS should be considered in patients with idiopathic autonomic cardiovascular neuropathy, especially in those with idiopathic orthostatic hypotension. Furthermore, glucocorticoid therapy seems to be very efficacious in the treatment of SS-associated autonomic cardiovascular neuropathy.

引用

页码：170 / 172

页数：3

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