Cornet A, Barbier J P, Pagniez G, Degos J D, Hirsch J F, Brochen J
Ann Med Interne (Paris). 1979 Dec;130(12):641-4.
The authors describe a case of very severe orthostatic hypotension with an invariable pulse arising during the course of considerable motor diarrhea. The diagnosis of primary dysautonomia was made only after eliminating the many organic causes of diarrhea: microbial, toxic, tumoral endocrine including diabetes. Shy and Drager's syndrome was rejected because of the spontaneously regressive course after a period of 4 years, the patient having had no further signs of orthostatic hypotension.
作者描述了一例在严重的动力性腹泻过程中出现的非常严重的体位性低血压且脉搏无变化的病例。仅在排除腹泻的多种器质性病因后才做出原发性自主神经功能障碍的诊断:微生物性、中毒性、肿瘤性、内分泌性(包括糖尿病)。由于病程4年后自然缓解,患者此后未再出现体位性低血压的迹象,故排除了夏伊-德雷格综合征。