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Harlequin syndrome (HSD) is an autonomic disorder occurring at any age and characterized by unilateral flushing and sweating, involving the face and sometimes arm and chest, in condition of thermal, exercise or emotional stress without sympathetic ocular manifestations. However, tonic pupils, parasympathetic oculomotor lesion and pre- or postganglionic sudomotor sympathetic deficit can rarely occur.
Biomarker and diagnostic research for harlequin syndrome has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for harlequin syndrome.
37 publications have been identified in PubMed for harlequin syndrome. Research spans Case Report / Case Series (73%), Review / Meta-Analysis (11%), and Diagnostic / Biomarker (8%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 27 | 73% |
Data assembled from 3 of 12 sources · Last updated Sep 19, 2026, 1:05 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
4 |
11% |
Testing and diagnosis research | 3 | 8% |
Other research | 2 | 5% |
Laboratory research | 1 | 3% |
Posener S (2026). [PMID: 42126711](https://pubmed.ncbi.nlm.nih.gov/42126711/). *Acta Neurol Belg*. [Case Report / Case Series]
Deol J (2026). [PMID: 41904663](https://pubmed.ncbi.nlm.nih.gov/41904663/). *Rheumatology (Oxford, England)*. [Review / Meta-Analysis]
Farinha PS (2026). [PMID: 41859431](https://pubmed.ncbi.nlm.nih.gov/41859431/). *JAAD case reports*. [Case Report / Case Series]
França FOS (2026). [PMID: 41711785](https://pubmed.ncbi.nlm.nih.gov/41711785/). *Einstein (Sao Paulo, Brazil)*. [Case Report / Case Series]
Roudaut T (2026). [PMID: 41952484](https://pubmed.ncbi.nlm.nih.gov/41952484/). *Clin Exp Emerg Med*. [Case Report / Case Series]
Joshi HR (2026). [PMID: 35593814](https://pubmed.ncbi.nlm.nih.gov/35593814/). *Unknown Journal*. [Other]
Shkolnyi S (2026). [PMID: 42087615](https://pubmed.ncbi.nlm.nih.gov/42087615/). *Perfusion*. [Case Report / Case Series]
Yu C (2025). [PMID: 39777961](https://pubmed.ncbi.nlm.nih.gov/39777961/). *Pediatric blood & cancer*. [Case Report / Case Series]
Singh M (2025). [PMID: 41356892](https://pubmed.ncbi.nlm.nih.gov/41356892/). *Cureus*. [Case Report / Case Series]
Heymer J (2025). [PMID: 40130555](https://pubmed.ncbi.nlm.nih.gov/40130555/). *ASAIO journal (American Society for Artificial Internal Organs : 1992)*. [Case Report / Case Series]