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İdyopatik Harlequin Sendromlu Nadir Bir Olgu

Harlequin sendromu, yüzde unilateral anhidrozis ve mat cilt rengine kontralateral hiperhidrozis ve kızarıklığın eşlik ettiği nadir bir sempatik sinir sistemi hastalığıdır. Çevresel ve/veya emosyonel stres ile belirginleşen hastalık, çoğunlukla tedavi gerektirmez ve benign bir otonom disfonksiyondur. Travmatik ya da dejeneratif süreçler tabloya yol açsa da çoğunlukla etyolojik neden bulunamaz. 42 yaşındaki kadın olgumuz, ısı artışı ve stres anında, göz bulgularının ptozis, anormal pupil vb. eşlik etmediği, yüz sağ yarımında aşırı terleme, kızarma ile başvurmuşdu. Travma veya cerrahi girişim öyküsü olmayan hastanın beyin, servikal ve torakal görüntülemelerinde etyolojik bir neden saptanmadı. Şikayetleri sosyal ilişkilerini etkileyecek düzeye ulaşan hasta semptomatik tedavi amacıyla sempatik ganglion blokajına yönlendirildi. Olgumuz nadir olarak karşılaşılan idyopatik harlequin sendromuna dikkat çekmek amacıyla sunulmuştur

A Rare Case of Idiopathic Harlequin Syndrome

Harlequin Syndrome is a rare malady of the sympathetic nervous system which is accompanied by unilateral anhydrosis and dull skin of the face, contralateral hyperhidrosis and flushing. It is a benign autonomic dysfunction which becomes more pronounced with environmental and/or emotional stress and generally requires treatment. Although traumatic and degenerative processes lead to the syndrome, mostly there are no etiologic factors. A 42 years-old-woman presented with hyperhidrosis and flushing of unilateral of the face without ocular findings ptosis, myosis, etc. , in the time of stress and/or thermo-rising. There was no history of trauma or surgery. Magnetic resonance imaging of the brain, cervical spine or thoracal spine were normal. A complaint becomes to the level of interfering with social intercourse/life so the patient was referred to sympathetic ganglion blockage for symptomatic treatment. We present the case to aim or The aim of presenting this case is to call attention to a rarely encountered case of idiopathic harlequin syndrome

Keywords:

Idiopathic harlequin,

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