Autonomic neuropathy is common in human immunodeficiency virus infection.

We prospectively evaluated autonomic nervous system function in 17 consecutive ambulant patients with HIV infection [mean age (S.D.) 34.5 (5.5) years] and 17 controls matched for sex and age [31.2 (7.4) years]. A questionnaire was administered, and neurological examination and standard bedside autonomic function tests were performed. Eleven of 17 HIV-infected individuals (64.7%) had symptoms suggestive of autonomic dysfunction, particularly urogenital problems. Thirteen of 17 (76.5%) had autonomic neuropathy (one or more abnormal tests), including nine of 11 symptomatic individuals. Only two controls had any autonomic symptoms, and all had normal tests. Autonomic dysfunction is common in those with HIV infection and AIDS.