Skin Biopsy May Help to Distinguish Multiple System Atrophy-Parkinsonism from Parkinson's Disease With Orthostatic Hypotension.
Vincenzo DonadioAlex IncensiGiovanni RizzoRosa De MiccoAlessandro TessitoreGrazia DevigiliFrancesca Del SorboSalvatore BonvegnaRossella InfanteMartina MagnaniCorrado ZenesiniLuca VignatelliRoberto CiliaRoberto EleopraGioacchino TedeschiRocco LiguoriPublished in: Movement disorders : official journal of the Movement Disorder Society (2020)
The p-syn in cutaneous nerves allows the differentiation of MSA-P from PD+OH; MSA-P mainly shows somatic fiber involvement with relatively preserved autonomic innervation; and by contrast, PD+OH displays prevalent abnormal p-syn deposits and denervation in autonomic postganglionic nerves. © 2020 International Parkinson and Movement Disorder Society.