Ishitobi Mamiko, Haginoya Kazuhiro, Kitamura Taro, Munakata Mitsutoshi, Yokoyama Hiroyuki, Iinuma Kazuie
Department of Pediatrics, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.
Brain Dev. 2004 Dec;26(8):542-4. doi: 10.1016/j.braindev.2004.02.012.
An 11-year-old boy presented with acute dysautonomia manifesting as severe orthostatic hypotension following fever. Serial orthostatic tests with measurement of the coefficient of variation in the R-R intervals showed improvement after one course and complete recovery after two courses of intravenous high-dose immunoglobulin therapy (IVIg). Repeated courses of IVIg should be considered to treat this disorder if spontaneous remission does not occur.
一名11岁男孩出现急性自主神经功能障碍，表现为发热后严重的体位性低血压。连续进行体位性测试并测量R-R间期的变异系数，结果显示在接受一个疗程的大剂量静脉注射免疫球蛋白治疗（IVIg）后病情有所改善，两个疗程后完全康复。如果未出现自发缓解，应考虑重复进行IVIg疗程来治疗这种疾病。
