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Diminished visual acuity while taking a hot shower
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multiple sclerosis
    Discussion -- not available online[Top] [Nav]
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  • JF Kurtze described the effects of the Uhthoff phenomenon in multiple sclerosis as "exceedingly transient, not very predictable and certainly not pathognomonic." He also mentions that Putnam's 1939 dictum "Go south, young multiple sclerotic," is wrong because of the effect of heat on MS patients. [101]
  • Eating and smoking can also precipitate symptoms for a brief period. Whether this is due to the Uhthoff phenomenon is unclear. Some patients with spino-cerebellar ataxia will also worsen after smoking. [102]
    Footnotes in Print Edition[Top] [Nav]
    (1) [This footnote was a comment, not a reference.]
    (2) McAlpine's Multiple Sclerosis.
  Matthews WB, et al. Edinburgh: Churchill Livingstone, 1985: 90-91,123,221-223.
    (3a) Brain's Diseases of the Nervous System, 8th ed..
  Walton JN (ed). Oxford: Oxford, 1977: 160.
    (3b) Handbook of Clinical Neurology.
  Vinken PJ, Bruyn GW. Amsterdam: North Holland: 1985;47:151.
    (4) On the "pulseless disease" outside of Japan.
  Ask-Upmark E.   Acta Med Scand. 1954;149:161-178.
    (5) The hot bath test in the diagnosis of multiple sclerosis.
  Malhotra AS, Goren H.   JAMA 1981 Sep 4;246(10):1113-4.  Pubmed  Similars
    (6) The hot bath test and multiple sclerosis [letter].
  Berger JR, Sheremata W.   JAMA 1982 Feb 19;247(7):979.  Pubmed  Similars
    (7) Effects of induced hyperthermia on some neurological diseases.
  Nelson DA, et al.   Arch Neurol Psychiat (Chicago). 1958;79:31-39.
    (8) Multiple Sclerosis.
  McDonald WI, Silberberg DH. London: Butterworths, 1986: 117-118.
    New References[Top] [Nav]
    101.Handbook of Clinical Neurology.
  Vinken PJ, Bruyn GW. Amsterdam: North Holland: 1970;9:182.
    102.Multiple Sclerosis: A Reappraisal.
  McAlpine D, et al. Edinburgh: Churchill Livingstone, 1972: 115-118.
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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