We examine patients with different autonomic neuropathies and Ehlers Danlos syndromes compared to healthy controls at three different points over time (baseline, after 3 months and after 1.5 years) to gain knowledge about the course of this disease and understand its pathophysiology, with a focus on Small Fiber neuropathy. Moreover we will validate the german version of the Malmö POTS Score and establish an easy diagnostic scheme for patients in outpatient care.
Inclusion of patients with autoimmune autonomic neuropathies/ pure autonomic failure, postural orthostatic tachycardia syndrome, small fiber neuropathies, Ehlers-Danlos syndromes, Mast cell activation syndrom, Chronic fatigue syndrome and PostCOVID syndrome in our Registry study with follow up visits. Comparison to healthy controls concerning selected examinations. Planned examinations are laboratory tests, questionnaires on mental and physical health status and circulatory disorders, attention tests, tilt table testing, standing test, sweat function, investigation of small fiber function via quantitative sensory testing as well as the density of nerve fibers in the skin. Measurements are performed at baseline mostly in clinical routine and follow up visits are offered.
Study Type
OBSERVATIONAL
Enrollment
200
Patients are selected from clinical Routine and get our standart Treatment based on their disease
University clinic RWTH Aachen
Aachen, North Rhine-Westphalia, Germany
RECRUITINGBlood pressure
Change in systolic and diastolic blood pressure over time
Time frame: baseline, 3 months and 18 months
Heart frequency
Change in heart frequency over time
Time frame: baseline, 3 months and 18 months
Skin biopsy
intraepithelial nerve fiber density between groups
Time frame: baseline
Composite autonomic severity Score
Change of the Score over time, the results are interpreted as normal (score=0), mild (score=1-3), moderate (score=4-6) or severe (score=7-10)
Time frame: baseline, 3 months and 18 months
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