Glucocorticoid Insufficiency, Achalasia, Alacrima with Autonomic and Motor Neuropathy
| Autor: | P.T. Pullan, W.D. Reed, B.G.A. Stuckey, Frank L. Mastaglia |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Nervous system medicine.medical_specialty Allgrove Syndrome Achalasia Gastroenterology Alacrima Internal medicine Cosyntropin Internal Medicine medicine Humans Glucocorticoids Lacrimal Apparatus Diseases business.industry Syndrome General Medicine medicine.disease Hyperpigmentation Esophageal Achalasia Autonomic nervous system medicine.anatomical_structure Autonomic Nervous System Diseases Anesthesia Vomiting Female medicine.symptom business |
| Zdroj: | Annals of Internal Medicine. 106:62 |
| ISSN: | 0003-4819 |
| DOI: | 10.7326/0003-4819-106-1-62 |
| Popis: | We report the case of a patient with adrenal disease with achalasia and alacrima, which appear to be part of a widespread defect in adrenal and nervous system function. A 21-year-old white woman at age 6 had had hypoglycaemia, hyperpigmentation, low plasma cortisol level (30 nmol/L; normal, 200 to 600), and a lack of cortisol response to cosyntropin. Alacrima had been noted since infancy but there were no other abnormal neurologic features. A roentgenogram of the chest at age 9 showed bilateral pulmonary opacities presumed due to aspiration; these have persisted. Nocturnal cough, vomiting of undigested food, and recurrent chest... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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