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A Standing Dilemma: Autonomic Failure Preceding Hodgkin's Lymphoma
Cyndya Shibao, MD, Prasuna Muppa, MBBS, Matthew W. Semler, MD, Amanda C. Peltier, MD, Italo Biaggioni, MD The American Journal of Medicine Volume 127, Issue 4, Pages (April 2014) DOI: /j.amjmed Copyright © 2014 Elsevier Inc. Terms and Conditions
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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. The American Journal of Medicine , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions
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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. The American Journal of Medicine , DOI: ( /j.amjmed ) Copyright © 2014 Elsevier Inc. Terms and Conditions
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