Harlequin syndrome in a subject with multinodular goiter and an elevated tryptase levels
A 54-year-old woman with multinodular goiter presented with progressively worsening flushing and sweating of right side of her face with contralateral anhidrosis induced by exercises for the past 5 years. These episodes would last for approximately 25 minutes to 2 hours. She did not have any previous trauma or injury to her head and neck, particular infections, pneumonias, or sinusitis. Examination revealed no abnormalities except for an enlarged thyroid gland. Laboratory testing revealed positive ANA with titer 1:64, abnormal immunoglobulin levels with total IgG 867 mg/dL (normal 700-1,600 mg/dL), IgM 178 mg/dL (40-230 mg...
Source: Journal of the American Academy of Dermatology - August 2, 2018 Category: Dermatology Source Type: research

Do you know this syndrome? Harlequin syndrome
We report a case of idiopathic harlequin syndrome in a 34-year-old man with a 5-month history of unilateral facial flushing and sweating after exercise. Despite the rarity of this syndrome, dermatologists should be aware of this condition in order to diagnose properly and provide multidisciplinary assistance. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 30, 2018 Category: Dermatology Source Type: research

[Harlequin syndrome secondary to a neuroblastoma].
PMID: 30007875 [PubMed - as supplied by publisher] (Source: Anales de Pediatria)
Source: Anales de Pediatria - July 11, 2018 Category: Pediatrics Authors: López Iniesta S, Del Cañizo Moreira M, Tasso Cereceda M, Esquembre Menor C Tags: An Pediatr (Barc) Source Type: research

Harlequin syndrome in a paediatric patient: a diagnostic challenge
Publication date: Available online 10 May 2018Source: Neurología (English Edition)Author(s): L. Butragueño Laiseca, M. Vázquez López, A. Polo Arrondo (Source: Neurologia)
Source: Neurologia - July 10, 2018 Category: Neurology Source Type: research

258 National survey of quality of life and disease severity in patients with congenital ichthyosis
We examined the relationship between disease severity and QOL in patients with CI, especially in patients with harlequin ichthyosis (HI) and ichthyosis: syndromic forms (Netherton syndrome, Sj ögren-Larsson syndrome, Dorfman-Chanarin syndrome, keratitis-ichthyosis-deafness syndrome, and trichothiodystrophy). Patients with HI or ichthyosis: syndromic forms who were aged 8 years or older and who participated in a multicenter retrospective questionnaire survey in Japan were assessed by derm atology life quality index (DLQI, range of 0-30) and CI disease severity score (range of 0-100). (Source: Journal of Investigative Dermatology)
Source: Journal of Investigative Dermatology - April 27, 2018 Category: Dermatology Authors: C. Murase, T. Takeichi, A. Shibata, M. Nakatochi, F. Kinoshita, S. Ikeda, M. Kurosawa, M. Akiyama Tags: Clinical Research: Epidemiology of Skin Diseases Source Type: research

Postoperative Harlequin Syndrome: Case Report of a Rare but Clinically Striking Condition
We present a case of a 2-year-old boy who underwent thoracoscopic resection of a left paraspinal mediastinal mass and developed Harlequin syndrome postoperatively. Harlequin syndrome is a rare neurological condition characterized by unilateral hyperhidrosis and erythema of the head and neck. Our discussion highlights this condition and other differential diagnoses that may present similarly in the postoperative period. (Source: A&A Case Reports)
Source: A&A Case Reports - April 15, 2018 Category: Anesthesiology Tags: Case Report Source Type: research

Harlequin syndrome as a rare complication after epidural anaesthesia in an obstetric patient.
Authors: Redondo JM, Rivas M, Martín ML, Torrado MD, Rodríguez MJ PMID: 29343042 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - January 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Harlequin Syndrome
(Source: Indian Journal of Pediatrics)
Source: Indian Journal of Pediatrics - December 14, 2017 Category: Pediatrics Source Type: research

Harlequin syndrome and Horner syndrome after neck schwannoma excision in a pediatric patient: A case report
We report a case of harlequin syndrome associated with Horner syndrome in an 11-year boy who underwent excision of right neck schwannoma. Lessons: Clinicians should consider the point that harlequin syndrome could occur as a first sign of more serious conditions. (Source: Medicine)
Source: Medicine - November 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Unilateral facial and upper truncal anhidrosis and absence of physiological flushing: A case of idiopathic harlequin syndrome
Crystal Zhen Yu Phuan, Hong Liang TeyIndian Journal of Dermatology, Venereology, and Leprology 2017 83(6):740-740 (Source: Indian Journal of Dermatology, Venereology and Leprology)
Source: Indian Journal of Dermatology, Venereology and Leprology - October 16, 2017 Category: Dermatology Authors: Crystal Zhen Yu Phuan Hong Liang Tey Source Type: research

Development of Harlequin Syndrome following placement of thoracic epidural anesthesia in a pediatric patient undergoing Nuss procedure
We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regional anesthesia, treatment involves reducing the local anesthetic infusion or stopping it altogether. We report the development of Harlequin Syndrome following thoracic epidural placement in a pediatric patient. Unilateral facial flushing with contralateral pallor and anhidrosis is the clinical presentation. This syndrome is typically benign. When related to regio...
Source: Clinical Case Reports - August 3, 2017 Category: General Medicine Authors: Ashley Lefevre, Gregory Schnepper Tags: Case Report Source Type: research

Three Extremely Rare Findings in the Same Patient: Harlequin Syndrome, Thyrocervical Trunk Aneurysm and Systemic-Pulmonary Arterio-Arterial Fistula
Harlequin syndrome is a rare autonomic disorder characterized by unilateral diminished sweating and flushing of the face in response to heat or exercise. Extrinsic ganglion compressions, most of the times by neoplasms, can induce the syndrome. During investigation of a 27 year-old woman presenting Harlequin syndrome with diminished sweating on the left side and flushing of the right half of her face, a left thyrocervical trunk aneurysm was detected by angio MRI. Thyrocervical trunk aneurysms are rare and only a few cases have been reported. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - July 6, 2017 Category: Surgery Authors: Adenauer Marinho de Oliveira G óes, Adib Koury, Eric Homero Albuquerque Paschoal, Salim Abdon Haber Jeha Tags: Case Report Source Type: research

Three Extremely Rare Findings in the Same Patient: Harlequin Syndrome, Thyrocervical Trunk Aneurysm, and Systemic-Pulmonary Arterio-Arterial Fistula
Harlequin syndrome is a rare autonomic disorder characterized by unilateral diminished sweating and flushing of the face in response to heat or exercise. Extrinsic ganglion compressions, most of the times by neoplasms, can induce the syndrome. During investigation of a 27-year-old woman presenting Harlequin syndrome with diminished sweating on the left side and flushing of the right half of her face, a left thyrocervical trunk aneurysm was detected by angio-magnetic resonance imaging. Thyrocervical trunk aneurysms are rare, and only a few cases have been reported. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - July 6, 2017 Category: Surgery Authors: Adenauer Marinho de Oliveira G óes Junior, Adib Koury Junior, Eric Homero Albuquerque Paschoal, Salim Abdon Haber Jeha Tags: Case Report Source Type: research