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July 13, 1963

Orthostatic Hypotension and Psychoneuroses

JAMA. 1963;185(2):29. doi:10.1001/jama.1963.03060020007005

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The patient who presents himself with urinary incontinence, impotence, and anhydrosis is not always psychoneurotic. He may be suffering from chronic idiopathic orthostatic hypotension.

Also, the physician prescribing antihypertensive drugs should be aware of their potential hypotensive side effects. These are the findings of Drs. Irwin J. Schatz, Stephen Podolsky, and Boy Frame of Henry Ford Hospital in Detroit, which they presented at the AMA Annual Meeting.

Speaking for the group, Schatz told The Journal that the most common cause of orthostatic hypotension is iatrogenic, due to the sympathetic blocking drugs used in hypertension.

There are many more secondary causes than primary ones of orthostatic hypotension, Schatz feels, such as diabetes, multiple sclerosis, tabes dorsalis, and adrenal malfunctions.

Discussing a study of 28 patients with the disease and ("for comparative purposes") 11 patients suffering from a similar syndrome associated with diabetes mellitus, Schatz said the presence of neurologic signs in

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