Ross syndrome and diabetes mellitus: An interesting association

Abstract

Ross syndrome is a rare disorder of sweating with a triad of segmental anhidrosis, tonic pupil, and hyporeflexia. Survey of available literature shows scarce reporting of such cases globally and countable number of cases from India. Here, we report the case of a 35-year-old male presented with heat intolerance and all three clinical features of Ross syndrome. Further investigations revealed him to be diabetic. Diabetes was treated with insulin and oral hypoglycemics. The patient had increased comfort in hot and humid climate and slight improvement in sweating over anhidrotic areas after strict diabetic control. The association of diabetes mellitus and Ross syndrome in the index case is quite interesting and hitherto not reported.

Keywords

• anhidrosis
• diabetes
• hyporeflexia
• ross syndrome
• tonic pupil