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Dermatology Online Journal Jan 2013Ross syndrome is a rare partial dysautonomic syndrome defined by the classic triad of segmental anhidrosis, Adie's tonic pupil and arreflexia. In addition to a secretory...
Ross syndrome is a rare partial dysautonomic syndrome defined by the classic triad of segmental anhidrosis, Adie's tonic pupil and arreflexia. In addition to a secretory and protective function, the sweating is responsible for thermoregulation, which is necessary for maintaining body homeostasis, therefore hypohidrosis may compromise the ability of the person to work or exercise in any environmental conditions. We present a case of Ross Syndrome in a 38-year-old male with heat intolerance, which interfered with his daily work practice.
Topics: Adult; Body Temperature Regulation; Humans; Hypohidrosis; Male; Reflex, Abnormal; Sweating; Syndrome; Tonic Pupil
PubMed: 23374948
DOI: No ID Found -
American Heart Journal Plus :... Feb 2024Patients who survive critical illness endure complex physical and mental health conditions, referred to as post-intensive care syndrome (PICS). The University of...
OBJECTIVE
Patients who survive critical illness endure complex physical and mental health conditions, referred to as post-intensive care syndrome (PICS). The University of Michigan's post-intensive cardiac care outpatient long-term outreach (PICCOLO) clinic is designed for patients recently admitted to the coronary care unit (CCU). The long-term goal of this clinic is to understand post-CCU patients' needs and design targeted interventions to reduce their morbidity and mortality post-discharge. As a first step toward this goal, we aimed to define the post-discharge needs of CCU survivors.
DESIGN SETTING PARTICPANTS
We retrospectively reviewed case-mix data (including rates of depression, PTSD, disability, and cognitive abnormalities) and health outcomes for patients referred to the PICCOLO clinic from July 1, 2018, through June 30, 2021 at Michigan Medicine.
RESULTS
Of the 134 referred patients meeting inclusion criteria, 74 (55 %) patients were seen in the PICCOLO clinic within 30 days of discharge. Patients seen in the clinic frequently screened positive for depression (PHQ-2 score ≥3, 21.4 %) and cognitive impairment (MOCA 26, 38.8 %). Further, patients also reported high rates of physical difficulty (mean WHODAS 2.0 score 28.4 %, consistent with moderate physical difficulty). Consistent with medical intensive care unit (ICU) patients, CCU survivors experience PICS.
CONCLUSION
This work highlights the feasibility of an outpatient care model and the need to leverage information gathered from this care model to develop treatment strategies and pathways to address symptoms of PICS in CCU survivors, including depression, cognitive impairment, and physical disability.
PubMed: 38434252
DOI: 10.1016/j.ahjo.2024.100363 -
Journal of Neurology, Neurosurgery, and... Oct 1998The Holmes-Adie syndrome consists of unilateral or bilateral tonic pupils with near light dissociation and tendon areflexia. It is associated with autonomic disturbances...
The Holmes-Adie syndrome consists of unilateral or bilateral tonic pupils with near light dissociation and tendon areflexia. It is associated with autonomic disturbances affecting sudomotor and vasomotor function. Five such patients are reported on who also had a troublesome chronic dry cough, which was of unknown aetiology and was resistant to a range of treatments. The cough may be related to involvement of afferent or efferent pathways in the vagus. Chronic cough may be an accompaniment in the Holmes-Adie syndrome, like other forms of autonomic dysfunction.
Topics: Adie Syndrome; Adult; Chronic Disease; Cough; Female; Humans; Male; Middle Aged; Vagus Nerve
PubMed: 9771793
DOI: 10.1136/jnnp.65.4.583 -
Journal of Neurology, Neurosurgery, and... Oct 1979The pathophysiological mechanisms underlying benign areflexia were studied in six patients with Holmes-Adie syndrome. No impairment of sensory conduction velocity of...
The pathophysiological mechanisms underlying benign areflexia were studied in six patients with Holmes-Adie syndrome. No impairment of sensory conduction velocity of sural nerve was found. A normal tonic vibration reflex was obtained in all patients. H reflex was absent in five patients, but responses like F waves were recorded in three subjects. These findings suggest that muscle spindles are not affected and that spinal motoneurone excitability is normal.
Topics: Adie Syndrome; Adult; Aged; Electrophysiology; Female; Humans; Male; Middle Aged; Motor Neurons; Neural Conduction; Peripheral Nerves; Reflex, Abnormal; Reflex, Monosynaptic; Vibration
PubMed: 512669
DOI: 10.1136/jnnp.42.10.943 -
Annals of Saudi Medicine 2008
Topics: Adie Syndrome; Adult; Diagnosis, Differential; Electrocardiography; Humans; Hyperhidrosis; Hypohidrosis; Male; Syndrome; Tomography, X-Ray Computed; Tonic Pupil
PubMed: 18299650
DOI: 10.5144/0256-4947.2008.53 -
The British Journal of Ophthalmology Aug 1959
Topics: Adie Syndrome; Ganglia, Parasympathetic; Herpes Zoster; Humans; Tonic Pupil
PubMed: 13807165
DOI: 10.1136/bjo.43.8.471 -
The New England Journal of Medicine Aug 2006
Topics: Adie Syndrome; Adult; Autonomic Nervous System Diseases; Female; Humans; Hypohidrosis; Syndrome; Tonic Pupil
PubMed: 16899770
DOI: 10.1056/NEJMicm040986 -
Bioscience Trends Jun 2010Two cases of anisocoria that occurred just after the induction of general anesthesia for living donor liver transplantation are reported. Space-occupying lesions were...
Two cases of anisocoria that occurred just after the induction of general anesthesia for living donor liver transplantation are reported. Space-occupying lesions were not observed in brain computed tomography. Mydriasis was temporary in both cases, suggesting that the anisocoria was most likely related to Adie syndrome.
Topics: Adie Syndrome; Anesthesia, General; Anisocoria; Female; Humans; Liver Transplantation; Living Donors; Male; Middle Aged
PubMed: 20592466
DOI: No ID Found -
Edinburgh Medical Journal Jun 1936
PubMed: 29646983
DOI: No ID Found -
Arquivos de Neuro-psiquiatria Jun 2008
Topics: Adie Syndrome; Autonomic Nervous System; Female; Headache; Humans; Parasympathetic Nervous System; Reflex; Trigeminal Nerve; Young Adult
PubMed: 18641888
DOI: 10.1590/s0004-282x2008000300031