Source:http://linkedlifedata.com/resource/pubmed/id/10454060
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1999-9-17
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pubmed:abstractText |
We analyzed the clinical and physiological features of autonomic failure with Parkinson's disease (AF-PD) in seven patients and compared them with those of autonomic failure with multiple system atrophy (AF-MSA). In AF-PD, parkinsonism was more gradually progressive than in AF-MSA, and symptoms were responsive to L-dopa. All seven patients with AF-PD had orthostatic hypotension, postprandial hypotension, and constipation, but no urinary retention. Of these, three had hypohidrosis and five had frequent urination; five patients had subnormal plasma norepinephrine (NE) concentrations. Supersensitivity to NE infusion was observed in all patients. Head-up tilting (HUT) test resulted in no increase of plasma NE concentrations in both groups, but a significant increase of the plasma arginine vasopressin (AVP) concentrations in the patients with AF-PD. Urodynamic studies revealed that urinary bladder function was relatively well preserved in AF-PD in contrast to AF-MSA. In conclusion, there exists some clinical and physiological differences in autonomic features between AF-PD and AF-MSA, and postganglionic involvement predominates in AF-PD.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0959-9851
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
139-44
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10454060-Aged,
pubmed-meshheading:10454060-Arginine Vasopressin,
pubmed-meshheading:10454060-Autonomic Nervous System Diseases,
pubmed-meshheading:10454060-Female,
pubmed-meshheading:10454060-Humans,
pubmed-meshheading:10454060-Hypotension,
pubmed-meshheading:10454060-Hypotension, Orthostatic,
pubmed-meshheading:10454060-Male,
pubmed-meshheading:10454060-Multiple System Atrophy,
pubmed-meshheading:10454060-Norepinephrine,
pubmed-meshheading:10454060-Parkinson Disease,
pubmed-meshheading:10454060-Postprandial Period,
pubmed-meshheading:10454060-Tilt-Table Test,
pubmed-meshheading:10454060-Urinary Bladder,
pubmed-meshheading:10454060-Urodynamics
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pubmed:year |
1999
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pubmed:articleTitle |
Clinical and physiological characteristics of autonomic failure with Parkinson's disease.
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pubmed:affiliation |
Department of Neurology, Nagoya University School of Medicine, Japan.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Case Reports
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