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Case Reports
. 2014 Apr;127(4):284-7.
doi: 10.1016/j.amjmed.2013.12.002. Epub 2013 Dec 12.

A standing dilemma: autonomic failure preceding Hodgkin's lymphoma

Cyndya Shibao  1 , Prasuna Muppa  2 , Matthew W Semler  3 , Amanda C Peltier  4 , Italo Biaggioni  5
Affiliations
Case Reports

A standing dilemma: autonomic failure preceding Hodgkin's lymphoma

Cyndya Shibao et al. Am J Med. 2014 Apr.
No abstract available

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
(A) The patient had severe orthostatic hypotension, which had a dramatic effect on his heart rate (HR) and blood pressure (BP). (B) Valsalva-maneuver (VM) tracings showed a lack of blood pressure (SBP) recovery in phase II late (IIL) and an overshoot during phase IV. This indicated impaired sympathetic vasoconstrictor function. He had normal compensatory heart rate changes during the Valsalva maneuver.
Figure 2
Figure 2
(A) Computed tomography of the chest showed mediastinal lymphadenopathy. (B) Supraclavicular lymph node histopathology identified Hodgkin’s lymphoma. The blue arrow highlights a classic Reid-Steinberg (RS) cell, confirming the diagnosis.
See this image and copyright information in PMC

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