PMID- 19443982
OWN - NLM
STAT- MEDLINE
DCOM- 20090814
LR  - 20190606
IS  - 1349-7235 (Electronic)
IS  - 0918-2918 (Linking)
VI  - 48
IP  - 10
DP  - 2009
TI  - Acute autonomic, sensory and motor neuropathy: successful treatment with IVIg.
PG  - 843-6
AB  - Acute autonomic, sensory and motor neuropathy (AASMN) is a rare peripheral nerve 
      disorder characterized by prominent dysautonomia with somatic sensory and motor 
      impairment. Dysautonomia in AASMN is intractable even with corticosteroid therapy 
      or plasmapheresis. Here we report a case of AASMN with severe orthostatic 
      hypotension. Although the effectiveness of corticosteroid was insufficient, high 
      dose intravenous immunoglobulin therapy (IVIg) was effective for not only 
      sensorimotor symptoms but also autonomic symptoms. This is the first case of 
      AASMN showing favorable responses to IVIg treatment, suggesting that IVIg should 
      be considered when corticosteroid therapy or plasmapheresis is ineffective or 
      insufficient.
FAU - Ueda, Akihiro
AU  - Ueda A
AD  - Department of Neurology, Fujita Health University School of Medicine, Toyoake.
FAU - Asakura, Kunihiko
AU  - Asakura K
FAU - Mihara, Takateru
AU  - Mihara T
FAU - Hara, Hideo
AU  - Hara H
FAU - Ueda, Madoka
AU  - Ueda M
FAU - Miyashita, Tadayuki
AU  - Miyashita T
FAU - Mutoh, Tatsuro
AU  - Mutoh T
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20090515
PL  - Japan
TA  - Intern Med
JT  - Internal medicine (Tokyo, Japan)
JID - 9204241
RN  - 0 (Immunoglobulins, Intravenous)
RN  - EC 3.4.23.15 (Renin)
RN  - X4W3ENH1CV (Norepinephrine)
SB  - IM
MH  - Acute Disease
MH  - Autonomic Nervous System Diseases/diagnosis/physiopathology/*therapy
MH  - Humans
MH  - Immunoglobulins, Intravenous/*therapeutic use
MH  - Male
MH  - Middle Aged
MH  - Norepinephrine/blood
MH  - Peripheral Nervous System Diseases/diagnosis/physiopathology/*therapy
MH  - Renin/blood
MH  - Shy-Drager Syndrome/diagnosis/physiopathology/therapy
MH  - Tilt-Table Test
EDAT- 2009/05/16 09:00
MHDA- 2009/08/15 09:00
CRDT- 2009/05/16 09:00
PHST- 2009/05/16 09:00 [entrez]
PHST- 2009/05/16 09:00 [pubmed]
PHST- 2009/08/15 09:00 [medline]
AID - JST.JSTAGE/internalmedicine/48.1848 [pii]
AID - 10.2169/internalmedicine.48.1848 [doi]
PST - ppublish
SO  - Intern Med. 2009;48(10):843-6. doi: 10.2169/internalmedicine.48.1848. Epub 2009 
      May 15.