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Case 42: Multiple System Atrophy Versus Parkinson’s Disease? 

Case 42: Multiple System Atrophy Versus Parkinson’s Disease?
Case 42: Multiple System Atrophy Versus Parkinson’s Disease?

Peter Novak

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date: 22 October 2020

This patient showed evidence of mild but widespread autonomic dysfunction. These findings are nonspecific and can be seen in variety of central (α‎-synucleinopathies) and peripheral (autonomic neuropathy/ganglionopathy) disorders. Clinical workup for neuropathy showed elevated acetylcholine ganglionic neuronal antibodies. Immunotherapy with intravenous immunoglobulins for suspected autoimmune autonomic neuropathy was recommended.

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