Deutsche medizinische Wochenschrift (1946) · 2003
[A 47-year-old man with "pure autonomic failure" and pernicious anemia].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Fehmann H C
Аннотация
HISTORY AND CLINICAL FINDINGS: A 47-year-old man with a known and substituted vitamin B12 deficiency presented with increasing symptoms associated with orthostatic hypotension, neck pain and micturitional and visual disturbances.
CLINICAL AND LABORATORY TESTS: Catecholamines were strongly reduced in plasma and urine.
DIAGNOSIS, TREATMENT AND CLINICAL COURSE: A pure autonomic failure was diagnosed and therapy with fludrocortisone, yohimbine and erythropoetine was started. Symptoms with the exception of micturitional disturbances improved strongly.
CONCLUSIONS: Multiple-drug treatment of pure autonomic failure is successful. The prognosis is good.
CLINICAL AND LABORATORY TESTS: Catecholamines were strongly reduced in plasma and urine.
DIAGNOSIS, TREATMENT AND CLINICAL COURSE: A pure autonomic failure was diagnosed and therapy with fludrocortisone, yohimbine and erythropoetine was started. Symptoms with the exception of micturitional disturbances improved strongly.
CONCLUSIONS: Multiple-drug treatment of pure autonomic failure is successful. The prognosis is good.
Предметные рубрики MeSH
Adrenergic alpha-AntagonistsAnemia, PerniciousAutonomic Nervous System DiseasesBlood PressureCatecholaminesDiagnosis, DifferentialDrug Therapy, CombinationErythropoietinFludrocortisoneHumansHypotension, OrthostaticMaleMiddle AgedMineralocorticoidsNeck PainPrognosisPulseUrination DisordersVision DisordersVitamin B 12Yohimbine