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  • Dtsch. Med. Wochenschr. · Jun 2003

    Case Reports

    [A 47-year-old man with "pure autonomic failure" and pernicious anemia].

    • H C Fehmann.
    • Praxis für Innere Medizin, Diabetologische Schwerpunktpraxis, Marburg.
    • Dtsch. Med. Wochenschr. 2003 Jun 13; 128 (24): 1347-50.

    History And Clinical FindingsA 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 TestsCatecholamines were strongly reduced in plasma and urine.Diagnosis, Treatment And Clinical CourseA pure autonomic failure was diagnosed and therapy with fludrocortisone, yohimbine and erythropoetine was started. Symptoms with the exception of micturitional disturbances improved strongly.ConclusionsMultiple-drug treatment of pure autonomic failure is successful. The prognosis is good.

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