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Mother-induced hypertension in familial dysautonomia
Lucy Norcliffe-Kaufmann1, Jose-Alberto Palma2, Horacio Kaufmann2
1Dysautonomia Center, Department of Neurology, New York University, New York, NY, 10016, USA. norcll01@nyumc.org.
Abstract:
Here we report the case of a patient with familial dysautonomia (a genetic form of afferent baroreflex failure), who had severe hypertension (230/149 mmHg) induced by the stress of his mother taking his blood pressure. His hypertension subsided when he learnt to measure his blood pressure without his mother's involvement. The case highlights how the reaction to maternal stress becomes amplified when catecholamine release is no longer under baroreflex control.
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