Poikilothermia in a 38-year-old Fabry patient

Marieke Biegstraaten, Ivo N. van Schaik, Carla E. M. Hollak, Wouter Wieling, Gabor E. Linthorst

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Abstract

A Fabry patient with poikilothermia is described. Laboratory investigations, neuro-imaging and autonomic function tests did not disclose a cause. Assessment of intra-epidermal nerve fibre density and quantitative sensory testing revealed small fibre neuropathy with a highly impaired cold sensation. We speculate that the poikilothermia is either caused by a vascular lesion in the hypothalamus not visible on MRI or by small fibre neuropathy leading to disturbed body temperature perception and therefore impaired thermoregulation
Original languageEnglish
Pages (from-to)177-179
JournalCLINICAL AUTONOMIC RESEARCH
Volume21
Issue number3
DOIs
Publication statusPublished - 2011

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