ADVERTISEMENT

So Much More than Bald and Bloated

Journal of Hospital Medicine 13(12). 2018 December;:863-867. Published online first September 26, 2018 | 10.12788/jhm.3083

© 2018 Society of Hospital Medicine

TEACHING POINTS

  • Recognize the following signs and symptoms suggesting a dysautonomic syndrome: orthostasis, syncope, anhidrosis, xerophthalmia, xerostomia, impaired pupillary constriction, blurry vision, photophobia, erectile dysfunction, urinary retention, gastroparesis, constipation, neurogenic bowel obstruction, and dysgeusia.
  • Recognize the clinical features, diagnostic approach, and management of autoimmune autonomic ganglionopathy.
  • When faced with a complex clinical presentation, early application of the “law of parsimony” may help identify a unifying syndrome.

Acknowledgments

The authors wish to thank our Blinded Expert, Anthony Montanaro, MD, for his expertise and guidance during this process.

Disclosures

There are no known conflicts of interest.