RICHARD C. BECKER, M.D.; JOSEPH S. ALPERT, M.D.
BECKER RC, ALPERT JS. Nocturnal Diaphoresis in Prinzmetal Angina. Ann Intern Med. 1987;107:121. doi: 10.7326/0003-4819-107-1-121_1
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Published: Ann Intern Med. 1987;107(1):121.
To the editor: Nocturnal diaphoresis (night sweats) is a symptom frequently investigated by house officers and internists. Potential diagnoses include tuberculosis, endocarditis, lymphomas, hyperthyroidism, diabetes mellitus, hypoglycemia (insulinoma, insulin reaction), systemic vasculitis, pheochromocytoma, carcinoid syndrome, drug withdrawal, and dysautonomy states. We now report a case of atypical Prinzmetal angina pectoris presenting with nocturnal diaphoresis.
A 65-year-old white woman had recurrent episodes of nocturnal diaphoresis for 3 months. Each episode occurred between 0300 and 0500 h and lasted 15 to 30 minutes. There was no history of fever, weight loss, flushing, diarrhea, anxiety, or heat intolerance. A physical examination at hospitalization
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