The 482nd case: vomiting, paroxysmal dizziness and anhidrosis
10.3760/cma.j.cn112138-20200417-00390
- VernacularTitle:第482例——呕吐，发作性头晕，皮肤无汗
- Author:
Mengdi JIANG
1
;
Jiuliang ZHAO
;
Yangzhong ZHOU
;
Ying JIANG
;
Xuan ZHANG
;
Xiaofeng ZENG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院风湿免疫科 100730
- From:
Chinese Journal of Internal Medicine
2020;59(12):1013-1016
- CountryChina
- Language:Chinese
-
Abstract:
A 31-year-old woman was admitted to Peking Union Medical College Hospital presented with intermittent vomiting and abdominal pain for 2 years, and recurrence with paroxysmal dizziness for 1 month. This patient was diagnosed with systemic lupus erythematosus (SLE) 2 years ago with involvement of gastrointestinal and urinary tracts. One month ago, repeated vomiting and nausea recurred. No laboratory and imaging abnormalities were found in central nervous system and gastrointestinal evaluation. Orthostatic hypotension and fluctuation of blood pressure were recorded during hospitalization. Combined with sexual dysfunction, left adie pupil, anhidrosis and abnormal sympathetic skin response, autonomic nerve dysfunction related to SLE was diagnosed. After treated with pulse glucocorticoids and intravenous immunoglobulin, the patient′s symptoms improved remarkably. Orthostatic hypotension in SLE patients may link to autonomic nerve dysfunction.
