Objective:
To identify dysautonomia as a collection of conditions with variable presentation that may be mistaken for medically unexplained symptoms.
Methods:
Case series.
Results:
Tilt table testing and 24 h electrocardiographic monitoring provided useful diagnostic tools to confirm the diagnosis.
Conclusion:
A greater awareness and recognition of the disorders that result from dysautonomia and recognition of the disability that results from these disorders will improve patients' quality of life.
Learning points:
Dysautonomia is protean in presentation and clinicians need to have a high degree of suspicion as, if diagnosed, symptomatic improvement is possible leading to improved quality of life.Tilt table testing and 24 h electrocardiographic monitoring are useful diagnostic tools.Greater awareness and recognition of the disorders that result from dysautonomia with appropriate use of these tests by medical professionals is necessary.