Plasma exchange for primary autoimmune autonomic failure.

Schroeder, Christoph; Vernino, Steven; Birkenfeld, Andreas L; Tank, Jens; Heusser, Karsten; Lipp, Axel; Benter, Thomas; Lindschau, Carsten et al. · N Engl J Med · 2005

case_report · Level V

Where this comes from

Abstract

We report on a patient with long-standing severe autonomic failure that affected his sympathetic and parasympathetic nervous systems. Antibodies against the ganglionic acetylcholine receptors were detected in the serum. Removal of the antibodies by means of plasma exchange resulted in a dramatic clinical improvement.

Medical subject headings