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. 2022 Sep;29(9):2772-2780.
doi: 10.1111/ene.15413. Epub 2022 Jun 12.

Sudomotor dysfunction in people with neuromyelitis optica spectrum disorders

Mario Habek  1   2 , Marko Andabaka  3 , Alessandra Fanciulli  4 , Gregor Brecl Jakob  5 , Jelena Drulović  3   6 , Fabian Leys  4 , Franziska Di Pauli  4 , Harald Hegen  4 , Michael Auer  4 , Tatjana Pekmezović  3 , Šarlota Mesaroš  3   6 , Vanja Jovičević  6 , Anamari Junaković  1 , Gregor K Wenning  4 , Florian Deisenhammer  4 , Tereza Gabelić  1   2 , Barbara Barun  1   2 , Ivan Adamec  1   2 , Magdalena Krbot Skorić  1   7
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Sudomotor dysfunction in people with neuromyelitis optica spectrum disorders

Mario Habek et al. Eur J Neurol. 2022 Sep.

Abstract

Background and purpose: The aim was to determine the extent of sudomotor dysfunction in people with neuromyelitis optica spectrum disorder (pwNMOSD) and to compare findings with a historical cohort of people with relapsing-remitting multiple sclerosis (pwRRMS).

Methods: Forty-eight pwNMOSD were enrolled from four clinical centers. All participants completed the Composite Autonomic Symptom Score 31 to screen for symptoms of sudomotor dysfunction. Sudomotor function was assessed using the quantitative sudomotor axon reflex test. The results were compared with a historical cohort of 35 pwRRMS matched for age, sex and disease duration.

Results: Symptoms of sudomotor dysfunction, defined by a score in the Composite Autonomic Symptom Score 31 secretomotor domain >0, were present in 26 (54%) of pwNMOSD. The quantitative sudomotor axon reflex test confirmed a sudomotor dysfunction in 25 (52.1%) of pwNMOSD; in 14 of them (29.2%) sudomotor dysfunction was moderate or severe. No difference was observed between pwNMOSD and pwRRMS in any of the studied parameters. However, symptomatic sudomotor dysfunction was more frequent in pwNMOSD (n = 8, 22.9%) compared to pwRRMS (n = 1, 3%; p = 0.028). In a multivariable logistic regression analysis, statistically significant predictors for symptomatic sudomotor failure were age and diagnosis of neuromyelitis optica spectrum disorder.

Conclusions: Sudomotor dysfunction is common in pwNMOSD and more often symptomatic compared to pwRRMS.

Keywords: multiple sclerosis; neuromyelitis optica spectrum disorders; sudomotor function.

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References

REFERENCES

    1. Folk GE Jr, Semken HA Jr. The evolution of sweat glands. Int J Biometeorol. 1991;35(3):180-186.
    1. Buchmann SJ, Penzlin AI, Kubasch ML, Illigens BM, Siepmann T. Assessment of sudomotor function. Clin Auton Res. 2019;29(1):41-53.
    1. Wingerchuk DM, Banwell B, Bennett JL, et al. International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology. 2015;85:177-189.
    1. Huda S, Whittam D, Bhojak M, Chamberlain J, Noonan C, Jacob A. Neuromyelitis optica spectrum disorders. Clin Med (Lond). 2019;19(2):169-176.
    1. Kwon S, Kim YS, Kim J, Kim BJ, Min JH. Clinical and MRI correlates of autonomic dysfunction in neuromyelitis optica spectrum disorder. Mult Scler Relat Disord. 2020;43:102215.

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