title: Influenza A induced acute autonomic neuropathy in an adolescent.
abstract: Influenza A may cause serious neurologic complications, but an autoimmune autonomic ganglionopathy has rarely been reported. Autoantibodies that impair synaptic transmission in the autonomic ganglia may cause orthostatic hypotension, gastrointestinal dysmotility, and sudomotor dysfunction. A 15-year-old girl developed severe and persisting orthostatic hypotension during influenza A infection. Removal of circulating antibodies by a single course of intravenous immunoglobulin resulted in rapid and complete recovery.
authors.affiliation: Department of Pediatrics, Turku University Hospital, Turku, Finland. hepelu@utu.fi
authors.forename: Heikki
authors.initials: H
authors.lastname: Lukkarinen
authors.forename: Ville
authors.initials: V
authors.lastname: Peltola
mesh_terms: D000293:Adolescent; D001342:Autonomic Nervous System Diseases / Q000628:therapy / Q000821:virology*; D005260:Female; D005725:Ganglia, Autonomic / Q000821:virology*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D009980:Influenza A virus; D007251:Influenza, Human / Q000150:complications*; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous