Movement Disorders (revue)

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Skin vasodilator response to local heating in multiple system atrophy

Identifieur interne : 002B74 ( Main/Exploration ); précédent : 002B73; suivant : 002B75

Skin vasodilator response to local heating in multiple system atrophy

Auteurs : Yoshitaka Yamanaka [Japon] ; Masato Asahina [Japon] ; Christopher J. Mathias [Royaume-Uni] ; Yuichi Akaogi [Japon] ; Yu Koyama [Japon] ; Takamichi Hattori [Japon]

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RBID : ISTEX:5EC4C6040F13D80D8B1D91EF4A202AE593D12A6C

Descripteurs français

English descriptors

Abstract

Local heating of nonglabrous skin increases skin blood flow (SkBF) in two phases. The initial peak (P1) is mediated by a sensory‐axon reflex and the plateau phase (P2) by local production of substances such as nitric oxide. We evaluated the SkBF response to local heating in 15 multiple system atrophy (MSA) patients with autonomic failure and 12 age‐matched healthy controls. The mean ratio of SkBF at P1 to that at baseline (SkBFP1/SkBFbase ratio) in MSA was significantly lower than that in controls (P < 0.01). The mean ratio of SkBF at P2 seemed to be slightly reduced in the MSA patients, compared with controls, although there was no significant difference. The P1 phase is thought to be mediated by a sensory‐axon reflex modulated by sympathetic nerve activity. These findings are indicative of the skin sympathetic vasomotor dysfunction in MSA. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21742


Affiliations:


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Le document en format XML

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<term>Blood flow</term>
<term>Data Interpretation, Statistical</term>
<term>Diseases of the autonomic nervous system</term>
<term>Female</term>
<term>Hand (blood supply)</term>
<term>Heating</term>
<term>Hot Temperature</term>
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<term>Laser-Doppler Flowmetry</term>
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<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">Local heating of nonglabrous skin increases skin blood flow (SkBF) in two phases. The initial peak (P1) is mediated by a sensory‐axon reflex and the plateau phase (P2) by local production of substances such as nitric oxide. We evaluated the SkBF response to local heating in 15 multiple system atrophy (MSA) patients with autonomic failure and 12 age‐matched healthy controls. The mean ratio of SkBF at P1 to that at baseline (SkBFP1/SkBFbase ratio) in MSA was significantly lower than that in controls (P < 0.01). The mean ratio of SkBF at P2 seemed to be slightly reduced in the MSA patients, compared with controls, although there was no significant difference. The P1 phase is thought to be mediated by a sensory‐axon reflex modulated by sympathetic nerve activity. These findings are indicative of the skin sympathetic vasomotor dysfunction in MSA. © 2007 Movement Disorder Society</div>
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