Ross Syndrome with Sweating Anomaly Associated with Sjögren Syndrome: An Infrared Thermo­graphic Case Study

Luong, Minh S.; Jomir, Laurent; Labauge, Pierre; Dandurand, M.; Meunier, L.; Stoebner, Pierre‐Emmanuel

doi:10.2340/00015555-0948

Cited by 17 publications

(18 citation statements)

References 10 publications

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“…[2] Increase in cutaneous blood flow manifesting itself as flushing along with compensatory contralateral excessive sweating due to disorder in heat consumption in these patients increases in the conditions in which heat production increases like hot weather and excessive exercise. [3,8] In our case, hypohidrosis and compensatory contralateral excessive sweating was visible to inspection on face, neck, shoulders, and upper chest. We obtained results supporting these findings also in sweat test.…”

Section: Discussionmentioning

confidence: 47%

“…Combination of Harlequin's syndrome and Adie's syndrome is known to be Ross syndrome. [3,4] Ross syndrome, which was described for the first time in 1958, is a complex and progressive disorder of peripheral autonomic nervous system. Its exact pathogenesis is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…[6] Miosis may not be seen with diluted pilocarpine in the patients with little old Adie's pupil in some cases. [2][3][4] However, tonic and slow response of pupil to accommodative stimulus is most distinguishing feature for diagnosis. This condition is stated to be near-light dissociation.…”

Section: Discussionmentioning

confidence: 99%

“…[2] However, basic objective sign is hyperhidrosis, which is often revealed by a segmental compensatory. [3] Although other autonomic disturbances occur in addition to this, they are quite rarely symptomatic. [1] Hyperhidrosis in autonomic disturbances is expressed to be compensatory over-response of endocrine glands remained from postganglionic injury.…”

Section: Introductionmentioning

confidence: 99%

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A case of Ross syndrome presented with Horner and chronic cough

Baran

Balbaba

Demir

et al. 2014

Journal of Neurosciences in Rural Practice

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Ross syndrome is a rare sweating disorder associated with Adie's tonic pupil, decreased or diminished tendon reflex and unknown etiology. Although autonomic disturbances affecting sudomotor and vasomotor functions are seen commonly, they are rarely symptomatic. While Ross syndrome is typically characterized with dilated tonic pupil, it may be rarely manifested with miotic pupils (little old Adie's pupil), which can make diagnosis difficult. In this article, we aim to specify the atypical clinical manifestations of syndrome by means of Ross syndrome manifested by autonomic symptoms, Horner syndrome, chronic cough together with bilateral little old Adie's pupil.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A case of Ross syndrome presented with Horner and chronic cough

Baran

Balbaba

Demir

et al. 2014

Journal of Neurosciences in Rural Practice

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“…5 However, very few cases of tonic pupils have been reported in Sjö gren's syndrome. 4,[6][7][8][9][10][11][12] Our cases demonstrate bilateral tonic pupils as the initial manifestation of Sjö gren's-associated autonomic neuropathy/neuronopathy. Both patients were diagnosed as having primary Sjö gren's syndrome based on the revised international classification criteria for Sjö gren's syndrome.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Tonic Pupils as the Initial Manifestation of Sjögren’s Syndrome

Bhagwan

Moodley

2015

Neuro-Ophthalmology

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Adie's pupil is characterised by pupil dilatation, segmental iris palsy, light-near dissociation, and slow re-dilatation. Most commonly, tonic pupils are unilateral and idiopathic, but can be caused by orbital disorders and autonomic neuropathies. There are only a few case reports of tonic pupils in patients with Sjö gren's syndrome, caused by an autoimmune ciliary ganglionitis. The authors report on two cases with bilateral tonic pupils as the initial manifestation of primary Sjö gren's syndrome. Both patients presented with blurred vision, bilateral tonic pupils, and sicca symptoms. The findings suggest that Sjö gren's syndrome should be considered in patients presenting with bilateral Adie's tonic pupils.

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