분절무한증과 동공부등을 주소로 내원한 로스증후군 증례: 손가락주름유발검사의 적용
Ross Syndrome with Segmental Anhidrosis and Anisocoria: Application of Finger Winkle Test
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Ross syndrome is characterized by a triad of segmental anhidrosis, tonic pupil, and generalized areflexia. Selective postganglionic autonomic denervation could be the differential diagnostic point for other diseases of the autonomic nervous system. Here we report a patient with regional anhidrosis in his left hand and sole, and anisocoria. An evaluation of sweating and the pupillary response together with generalized areflexia confirmed the diagnosis of Ross syndrome. The finger wrinkle test is a simple and useful tool for revealing segmental sympathetic denervation.
Abstract
Ross syndrome is characterized by a triad of segmental anhidrosis, tonic pupil, and generalized areflexia. Selective postganglionic autonomic denervation could be the differential diagnostic point for other diseases of the autonomic nervous system. Here we report a patient with regional anhidrosis in his left hand and sole, and anisocoria. An evaluation of sweating and the pupillary response together with generalized areflexia confirmed the diagnosis of Ross syndrome. The finger wrinkle test is a simple and useful tool for revealing segmental sympathetic denervation.
참고문헌 (10)
- Ross AT, "Progressive selective sudomotor denervation; a case with coexisting Adie’s syndrome", Neurology, 8, pp.809~817 (1958)
- Nolano M, "Ross syndrome: a rare or a misknown disorder of thermoregulation? A skin innervation study on 12 subjects", Brain, 129, pp.2119~2131 (2006)
- Ballestero-Díez M, "Ross syndrome, an entity included within the spectrum of partial disautonomic syndromes", J Eur Acad Dermatol Venereol, 19, pp.729~731 (2005)
- Choi MJ, "A case of Ross’ syndrome with Horner’s syndrome", J Korean Ophthalmol Soc, 39, pp.2201~2205 (1998)
- Nagane Y, "Ross syndrome associated with cytomegalovirus infection", Muscle Nerve, 38, pp.924~926 (2008)
- Nolano M, "Ross syndrome: a lesson from a monozygotic twin pair", Neurology, 80, pp.417~418 (2013)
- Tindall A, "Case of the month: the skin wrinkle test: a simple nerve injury test for paediatric and uncooperative patients", Emerg Med J, 23, pp.883~886 (2006)
- Wilder-Smith EP, "Stimulated skin wrinkling as an indicator of limb sympathetic function", Clin Neurophysiol, 126, pp.10~16 (2015)
- Teoh HL, "Skin wrinkling of diagnosing small fibre neuropathy: comparison with epidermal nerve density and sympathetic skin response", J Neurol Neurosurg Psychiatry, 79, pp.835~837 (2008)
- Vasudevan TM, "Skin wrinkling for the assessment of sympathetic function in the limbs", Aust N Z J Surg, 70, pp.57~59 (2000)
