Diurnal-fluctuations-of-symptoms: Causes & Reasons

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Possible Causes for diurnal fluctuations of symptoms

6-Pyruvoyl-Tetrahydropterin Synthase Deficiency

fluctuation of symptoms. [ncbi.nlm.nih.gov]

[…] with marked diurnal fluctuation. [uniprot.org]

[…] gressive dystonia-Diurnal fluctuation. [dokumen.tips]

Scoliosis

Segawa's syndrome or dopa-responsive dystonia is a rare hereditary disorder characterized by progressive dystonia of childhood onset, diurnal fluctuation of symptoms and complete [ncbi.nlm.nih.gov]

Aromatic L-Amino Acid Decarboxylase Deficiency

Diurnal fluctuation or improvement of symptoms after sleep were noted in half of the patients. Treatment response was variable. [ncbi.nlm.nih.gov]

In some disorders, diurnal fluctuation of symptoms may also be present. [invitae.com]

Endogenous Depression

A positive correlation was found between the number of anancastic personality features and the following symptoms: agitation, anxiety, diurnal fluctuation, seasonal variation [ncbi.nlm.nih.gov]

The pattern of the anancastic symptoms was rather uniform; aggressive obsessions, mostly in the form of suicidal and homicidal obsessions, were present in more than two thirds [ncbi.nlm.nih.gov]

Adult-Onset Cervical Dystonia Type DYT23

Hanihara T, Inoue K, Kawanishi C et al (1997) 6-Pyruvoyl-tetrahydropterin synthase deficiency with generalized dystonia and diurnal fluctuation of symptoms: a clinical and [link.springer.com]

fluctuation of symptoms, and a dramatic and sustained response to levodopa [ 36 ]. [neupsykey.com]

These symptoms show marked diurnal fluctuations, worsening through the day and almost absent in the early morning. [misc.medscape.com]

Pallidopyramidal Syndrome

Paralysis agitans of early onset with marked diurnal fluctuation of symptoms. [ncbi.nlm.nih.gov]

Idiopathic dystonia-parkinsonism with marked diurnal fluctuation of symptoms. Ann Neurol 1985;17(1):39–45. 18. [synapse.koreamed.org]

Chronic Fatigue Syndrome

Finally, diurnal fluctuations in ME/CFS tend to show symptom-worsening in the afternoon while in major depressive disorder more severe symptoms often occur in the morning. [web.archive.org]

Normal-Tension Glaucoma

Differential Diagnosis Glaucomatous etiology  Primary open angle glaucoma with diurnal fluctuation between normal and elevated IOP  Diurnal Variation Test helps in detecting [slideshare.net]

[…] for glaucoma Optic nerve pallor in excess of cupping Age less than 50 years Differential diagnosis Glaucomatous etiology Primary open angle glaucoma with diurnal fluctuation [eyewiki.aao.org]

[…] visual field deficits  Visual field defects not corresponding or out of proportion to optic nerve damage  Vertically aligned visual field defects  Atypical neurologic symptoms [slideshare.net]

Astrocytoma

Diurnally fluctuating frontal dysequilibrium secondary to a pineal pilocytic astrocytoma: is this symptom associated with a check-valve mechanism in a pineal region tumor? [neurocirugiacontemporanea.com]

Autosomal Recessive Juvenile Parkinson Disease

Paralysis agitans of early onset with marked diurnal fluctuation of symptoms. Neurology 1973;23:239–244. 23. Ishikawa A, Tsuji S. [e-jmd.org]

It differs from classic Parkinson disease by early DOPA-induced dyskinesia, diurnal fluctuation of the symptoms, sleep benefit, dystonia and hyper-reflexia. [genecards.org]

fluctuation; Young-onset Parkinson disease; Early-onset Parkinson disease See More Categories: This disease is grouped under: This table lists symptoms that people with this [rarediseases.info.nih.gov]

Iodide Poisoning

Myasthenia gravis (rare) Ocular myasthenia and weakness mimic stroke; variable and diurnal fluctuation. B. [jmedicalcasereports.biomedcentral.com]

Multiple sclerosis Visual and long tract neurological symptoms; recurrences of neurological deficits in space and time are common. [jmedicalcasereports.biomedcentral.com]

Sjögren Syndrome

fluctuation and exacerbation of symptoms during specific activities or environmental conditions. [emedicine.com]

[…] sensation Lid irritation and swelling Photophobia Ocular fatigue Mucoid discharge Dry eyes vs Sjögren syndrome Two important clues that the patient may have dry eyes include diurnal [emedicine.com]

Prolactinoma

Even if cabergoline could restore normal 24-hour cortisol production and disappearance of Cushing’s symptoms, there were no detailed studies as to whether diurnal fluctuations [csrf.net]

Painful Ophthalmoplegia

There is no diurnal fluctuation. There are no other symptoms. She presented with similar symptoms two years previously. [eanpages.org]

Juvenile Paralysis Agitans of Hunt

Patients with parkin mutations may have atypical clinical features such as dystonia at onset and marked diurnal symptom fluctuation; the disorder may bear some relationship [neupsykey.com]

[…] without marked diurnal fluctuations and without heritance, but with a steady progress in spite of a certain answer on levodopa treatment. [kundoc.com]

In addition, diurnal fluctuations in symptomatology and marked sleep benefit may occur in early-onset cases, even prior to the introduction of levodopa (11, 14, 32). [bioscience.org]

Kallmann Syndrome Type 4

It is important to test testosterone levels in the morning, due to diurnal fluctuations in testosterone production. [pharmacytimes.com]

The goal of testosterone replacement is to achieve a resolution of the symptoms of hypogonadism and achieve testosterone levels in the normal range. [pharmacytimes.com]

Mounier-Kühn Syndrome

The symptom wasn’t related to body position, inhaling cold gases, smoking or diurnal fluctuation. [jtd.amegroups.com]

Organic Aciduria

 The symptoms are usually progressive and often have a marked diurnal fluctuation.  Diagnosd by Measurement of neopterin (oxidative product of dihydroneopterin triphosphate [slideshare.net]

Autosomal Dominant Spastic Paraplegia Type 31

fluctuation of symptoms, and a dramatic response to levodopa therapy. [11] Parkinsonian features may appear later in the course of the disease and in adult family members [movementdisorders.org]

[…] dysarthria, ophthalmoplegia, hypometric saccades, slow tongue Borderline TCC and cerebellar atrophy Dopa-responsive dystonia (DRD) is characterized by childhood-onset dystonia, diurnal [movementdisorders.org]

Torticollis

This disorder typically presents with gait disturbance caused by foot dystonia, later development of parkinsonism, and diurnal fluctuation of symptoms (aggravation of symptoms [ncbi.nlm.nih.gov]

Phenylalanine Increased

Diurnal fluctuation of the symptoms (increase of symptoms in the evening and lessening in the morning) is characteristic of the condition. [invitae.com]

Affected individuals can have an of the following symptoms with diurnal fluctuations: speech and motor delays, learning disabilities and mental retardation, hypotonia, weakness [invitae.com]

Chromophobe Adenoma

Even if cabergoline could restore normal 24-hour cortisol production and disappearance of Cushing’s symptoms, there were no detailed studies as to whether diurnal fluctuations [csrf.net]

Dentatorubral-Pallidoluysian Atrophy

Paralysis agitans of early onset with marked diurnal fluctuation of symptoms. Neurology. 1973 Mar;23(3):239–244. [ncbi.nlm.nih.gov]

Tropical Eosinophilia

Eosinophil count may show diurnal fluctuations and may paradoxically be lowest during the night when the symptoms are at their worst (probably due to sequestration of eosinophils [ijmr.org.in]

Schwartz-Jampel Syndrome

Symptoms were not aggravated on exposure to cold, stress, or fever. No history of diurnal fluctuations was present. [neurologyindia.com]

Primary Torsion Dystonia

These symptoms show marked diurnal fluctuations, worsening through the day and almost absent in the early morning. [emedicine.medscape.com]

However, this fluctuation decreases with age in the late teens, and is no longer apparent in early adulthood, when symptoms become static. [emedicine.medscape.com]

Myasthenia Gravis

symptom fluctuation. [ncbi.nlm.nih.gov]

[…] acetylcholinesterase inhibitors reduces myasthenic weakness, minimizes muscarinic medication side effects, and must be individualized to each patient's distribution of weakness and diurnal [ncbi.nlm.nih.gov]

Iridocorneal Endothelial Syndrome

In patients with consistent daily episodes of transient blurry vision, clinicians should suspect a large diurnal IOP fluctuation with high peak IOP. [ncbi.nlm.nih.gov]

If symptoms and signs are unilateral, iridocorneal endothelial syndrome should be included in the differential diagnosis and corneal specular microscopy should be obtained [ncbi.nlm.nih.gov]

IOP oculus dexter remained within normal limits with clear cornea and stable visual acuity throughout the diurnal measurements. [ncbi.nlm.nih.gov]

Lambert-Eaton Syndrome

She experienced marked diurnal fluctuation of symptoms, with them being worse in the afternoon and when she was fatigued. [synapse.koreamed.org]

Two months after symptom onset she developed proximal limb weakness and had difficulty in climbing stairs and swallowing. [synapse.koreamed.org]

Factitious Disorder

Her symptoms had no diurnal fluctuations and had onset in adolescence. She also noted intermittent muscle twitches. [empr.com]