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A previously healthy 23-year-old man presented with a short history of abdominal pain and diarrhea followed by blurred vision,severe postural hypotension,reduced sweating and unremitting fever.Within 36 h of receiving intravenous gammaglobulin(IVGG)his pupillary areflexia and severe hypotension resolved.2 weeks later the autonomic failure recurred but again responded to treatment with IVGG.IVGG is a recognized treatment for Guillain-Barre syndrome.This case report demonstrates that IVGG is also effective in the rare pure dysautonomic variant. |
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autonomic dysfunction
autonomic dysfunction,acute
autonomic neuropathy
autonomic neuropathy,idiopathic
fever
gammaglobulin therapy,intravenous
Guillain Barre syndrome
Guillain Barre syndrome,variant forms of
ileus,paralytic
orthostatic hypotension
pain,abdominal
pupil,abnormality in neurologic disorders
pupil,dilated and fixed,bilateral
pupil,dilated,bilateral
sweating,abnormality of
syncope
syncope,recurrent
treatment of neurologic disorder
vision,blurred
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