The eightieth case: young women, sitting and standing intolerance with vomiting after eating and body sweating for two months
10.3760/cma.j.issn.1006-7876.2018.10.010
- VernacularTitle:第80例——青年女性,坐立不耐受伴进食后呕吐和躯体无汗2个月余
- Author:
Fan LI
1
;
Lingchao MENG
;
Junlong SHU
;
Yunchuang SUN
;
He LYU
;
Yining HUANG
;
Yun YUAN
Author Information
1. 100034,北京大学第一医院神经内科
- Keywords:
Autoimmune autonomic disorders;
Orthostatic hypotension;
Gastroparesis;
Sjogren's syndrome
- From:
Chinese Journal of Neurology
2018;51(10):831-835
- CountryChina
- Language:Chinese
-
Abstract:
The patient is a young woman,manifested as orthostatic hypotension and gastrointestinal motility disorders in acute onset.The physical examination and laboratory test suggested disorders of wide range of autonomic neuropathy.The levels of serum antinuclear antibody and SSA antibody were elevated.The biopsy of lip gland suggested Sjogren's syndrome.Nerve biopsy showed loss of a large number of unmyelinated nerve fibers.After the treatment of intravenous gamma globulin and glucocorticoid and symptomatic treatment,the symptoms of orthostatic hypotension were significantly relieved,but the gastrointestinal motility was not significantly improved.
