I will be discussing autonomic dysfunction in a 64-year old woman with a history of Lyme disease and COVID-19.  She was initially diagnosed and treated for Lyme disease at the age of 60.  She was diagnosed with two autonomic disorders. Her distal burning sensation without weakness were diagnosed as small fiber neuropathy (SNF).  Her dizziness, brain fog, and fatigue were diagnosed as orthostatic hypoperfusion syndrome (OCHOS).

She was diagnosed with COVID-19 pneumonia at the age of 64. She was treated with IVIG but was left with headaches and fatigue. 

The authors concluded that COVID-19 triggered autoimmunity. I would have questioned whether the autonomic dysfunction was related to her history of Lyme disease. 

Fortunately, the 64-year-old woman with a history of headaches, hypothyroidism, and autonomic dysfunction from PTLDS was able to recover from COVID-19.