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Clinical Autonomic Research
Published in: Clinical Autonomic Research 4/2010

01-08-2010 | Case Report

Autonomic failure in a HIV-infected patient

Authors: Jens Tank, Karsten Heusser, Christoph Schroeder, Friedrich C. Luft, Jens Jordan

Published in: Clinical Autonomic Research | Issue 4/2010

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Abstract

We present a case report of severe autonomic failure in a 43-year-old well-controlled HIV patient. Clinical and pharmacological autonomic function testing supported the diagnosis of peripheral autonomic failure. Simple physiological manoeuvres substantially improved symptoms.
Literature
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Schroeder C, Vernino S, Birkenfeld AL et al (2005) Plasma exchange for primary autoimmune autonomic failure. N Engl J Med 353(15):1585–1590CrossRefPubMed
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Dorresteijn LD, Portegies P, van KM, Bloem BR (2003) A gait disorder with an unexpected twist. Lancet 362(9390):1120CrossRefPubMed
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Jordan J, Shannon JR, Black BK et al (2000) The pressor response to water drinking in humans: a sympathetic reflex? Circulation 101:504–509PubMed
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Cohen JA, Miller L, Polish L (1991) Orthostatic hypotension in human immunodeficiency virus infection may be the result of generalized autonomic nervous system dysfunction. J Acquir Immune Defic Syndr 4(1):31–33PubMed
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Lebech AM, Kristoffersen US, Mehlsen J et al (2007) Autonomic dysfunction in HIV patients on antiretroviral therapy: studies of heart rate variability. Clin Physiol Funct Imaging 27(6):363–367CrossRefPubMed
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Esiri MM, Morris CS, Millard PR (1993) Sensory and sympathetic ganglia in HIV-1 infection: immunocytochemical demonstration of HIV-1 viral antigens, increased MHC class II antigen expression and mild reactive inflammation. J Neurol Sci 114(2):178–187CrossRefPubMed
Metadata
Title
Autonomic failure in a HIV-infected patient
Authors
Jens Tank
Karsten Heusser
Christoph Schroeder
Friedrich C. Luft
Jens Jordan
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
Clinical Autonomic Research / Issue 4/2010
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-010-0063-9

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