Bilateral Holmes–Adie syndrome as an early manifestation of the HIV neuropathy
| Autor: | Ladislav Machala, Pavel Kozner, H Rozsypal, Rudolf Cerny |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
CD4-Positive T-Lymphocytes medicine.medical_specialty Neurology Adie syndrome HIV Infections Dermatology Orthostatic vital signs medicine Humans biology Parvovirus Hyperhidrosis business.industry Peripheral Nervous System Diseases virus diseases General Medicine biology.organism_classification medicine.disease Psychiatry and Mental health Adie Syndrome Immunology Etiology Female Syphilis Neurology (clinical) medicine.symptom business Polyneuropathy |
| Zdroj: | Neurological Sciences. 31:661-663 |
| ISSN: | 1590-3478 1590-1874 |
| Popis: | A 38-year-old HIV-1 infected woman affected with bilateral tonic pupils. Ophthalmologic examination confirmed Holmes-Adie syndrome (HAS), and peripheral distal polyneuropathy, orthostatic hypotension and leg hyperhidrosis were detected on further workup. The HAS can be either idiopathic or associated with neuropathy of various etiology (autoimmune, paraneoplastic and infectious). In our patient, the pupillotonia was the first and early symptom of hitherto unrecognized HIV neuropathy. HAS has been previously observed in association with syphilis, Lyme borreliosis, herpes simplex and parvovirus B19 infection. Our case is the first report of HAS in a case of HIV infection. |
| Databáze: | OpenAIRE |
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