Summary

Harlequin syndrome is a rare condition characterized by hemifacial flushing and sweating, particularly during exercise and heat. There are sudomotor and vasomotor deficits in the cervical sympathetic chain. The sympathetic deficits are usually restricted to the face. Rarely, autonomic deficits affect the arm or the parasympathetic neurons of the ciliary ganglia. We report a 47-year-old woman who presented with facial flushing and sweating in the right side, which were mainly induced by balneotherapy. We used the starch-iodine test to show left hemifacial anhidrosis and the sympathetic skin response. Turk J Phys Med Rehab 2009;55:179-81.
Key Words: Balneotherapy, flushing, harlequin syndrome, hemifacial, hyperhidrosis

Summary

Harlequin syndrome is a rare condition characterized by hemifacial flushing and sweating, particularly during exercise and heat. There are sudomotor and vasomotor deficits in the cervical sympathetic chain. The sympathetic deficits are usually restricted to the face. Rarely, autonomic deficits affect the arm or the parasympathetic neurons of the ciliary ganglia. We report a 47-year-old woman who presented with facial flushing and sweating in the right side, which were mainly induced by balneotherapy. We used the starch-iodine test to show left hemifacial anhidrosis and the sympathetic skin response. Turk J Phys Med Rehab 2009;55:179-81.
Key Words: Balneotherapy, flushing, harlequin syndrome, hemifacial, hyperhidrosis

Article in Turkish
(Use the link for full-text in Turkish)