Case 54: Polyneuropathy Affecting Large and Small Fibers in Multiple Autoimmune Disorders

Abstract

This patient had diagnoses of multiple autoimmune disorders including Sjögren syndrome, rheumatoid arthritis, and systemic lupus erythematosus. Sjögren syndrome can be accompanied by severe painful neuropathy and dysautonomia. Orthostatic intolerance was due to cerebral autoregulatory failure.