About a year after I first noticed the Harlequin Syndrome, I started to get out of breath and weak feeling when I go up stairs. I also have a bad heat intolerence, and twitches in my arms, Iegs, and stomach. I had been able to do high impact aerobics and now I am only able to do low impact due to the fact that I overheat and get out of breath. I also have athsma, but this feels entirely different. I read in "The Autoimmune Epidemic", that Autonomic Dysfunction (Dysautonomia) is actually an Autoimmune disease. The Neurologist said that my Autonomic Nervous System is over reacting. Harlequin Syndrome is thought to be local (face, possibly arm and chest). The other symptoms I have seem to be Autoimmune. ( the body treating itself as a threat and attacking itself) Does anyone else have this?