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Neurology
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Answer 5
- All of the above (sensory symptoms, autonomic dysfunction, seborrheic dermatitis).
Sensory symptoms, autonomic dysfunction, and seborrheic dermatitis are all possible
symptoms of Parkinsons disease. In Parkinsons disease, sensory symptoms
are reported in approximately 10% of patients, manifest by an imprecise numbness,
tingling, stiffness, and abnormal temperature sensation. These symptoms typically
occur without any demonstrable deficits on neurologic examination. Autonomic
dysfunction can be manifest by orthostatic hypotension, gastrointestinal dysmotility,
urinary bladder dysfunction, and body temperature dysregulation. The incidence of
these findings has not been well defined, although symptoms of autonomic dysfunction
are thought to occur in a minority of patients. Seborrheic dermatitis occurs frequently
in patients with Parkinsons disease; the etiology of the dermatitis in these
patients is unknown and is not thought to be caused by the anti-parkinsonian medications.
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