{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:05Z","timestamp":1756312805410,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,1,4]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Dizziness is one of the most common complaints encountered in the outpatient clinic, which is difficult to diagnose, especially in older patients because of the multifactorial nature of the disease. Although not commonly recognised, anhidrosis can also cause dizziness.<\/jats:p>\n               <jats:p>We report a case of a woman in her 70s who presented with long-term recurrent dizziness. She had a history of frequent hospitalisations for heatstroke. Physical examination revealed markedly less sweating in the left axilla and soles than in the right. Minol test revealed that most of the left side of her body, including the face, was anhidrotic. She was diagnosed with idiopathic segmental anhidrosis. We administered steroid pulse therapy without observing any significant effects.<\/jats:p>\n               <jats:p>Although anhidrosis is a rare disorder, a careful interview and physical examination should be conducted to confirm a history of heatstroke and the absence of sweating to avoid missing the disease.<\/jats:p>","DOI":"10.1136\/bcr-2023-258324","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T02:30:30Z","timestamp":1705458630000},"page":"e258324","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Idiopathic segmental anhidrosis in an older patient presenting with recurrent dizziness"],"prefix":"10.1136","volume":"17","author":[{"given":"Morika","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine, National Hospital Organisation Sendai Medical Center, Sendai, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Watari","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA"},{"name":"General Medicine Center, Shimane University Hospital, Izumo, Shimane, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,16]]},"reference":[{"key":"2025082708583576000_17.1.e258324.1","first-page":"361","article-title":"Dizziness: a diagnostic approach","volume":"82","author":"Post","year":"2010","journal-title":"Am Fam Physician"},{"key":"2025082708583576000_17.1.e258324.2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-13-4"},{"key":"2025082708583576000_17.1.e258324.3","first-page":"160","article-title":"How common are various causes of dizziness? A critical review","volume":"93","author":"Kroenke","year":"2000","journal-title":"South Med J"},{"key":"2025082708583576000_17.1.e258324.4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0016481","article-title":"Profiling dizziness in older primary care patients: an empirical study","volume":"6","author":"Dros","year":"2011","journal-title":"PLoS One"},{"key":"2025082708583576000_17.1.e258324.5","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.13649"},{"key":"2025082708583576000_17.1.e258324.6","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/qjmed\/hcx104","article-title":"Idiopathic segmental Anhidrosis","volume":"110","author":"Shikino","year":"2017","journal-title":"QJM"},{"key":"2025082708583576000_17.1.e258324.7","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1111\/j.1524-4725.2009.01364.x","article-title":"Recommendations for performing and evaluating the results of the minor test according to a sweating intensity visual scale","volume":"36","author":"Hexsel","year":"2010","journal-title":"Dermatol Surg"},{"key":"2025082708583576000_17.1.e258324.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1810762"},{"key":"2025082708583576000_17.1.e258324.9","doi-asserted-by":"crossref","first-page":"1841","DOI":"10.1212\/WNL.55.12.1841","article-title":"Ross syndrome plus: beyond Horner, Holmes-Adie, and harlequin","volume":"55","author":"Shin","year":"2000","journal-title":"Neurology"},{"key":"2025082708583576000_17.1.e258324.10","doi-asserted-by":"crossref","DOI":"10.4103\/0019-5154.182472","article-title":"Ross syndrome: a case report and review of cases from India","volume":"61","author":"Agarwala","year":"2016","journal-title":"Indian J Dermatol"},{"key":"2025082708583576000_17.1.e258324.11","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.51.5.635"},{"key":"2025082708583576000_17.1.e258324.12","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awl175"},{"key":"2025082708583576000_17.1.e258324.13","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1016\/j.clinph.2011.12.016","article-title":"Selective autonomic failure: Ross syndrome","volume":"123","author":"Macefield","year":"2012","journal-title":"Clin Neurophysiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258324","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:58:43Z","timestamp":1756310323000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,16]]},"published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1136\/bcr-2023-258324"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258324","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}