B. G. STUCKEY; F. L. MASTAGLIA; W. D. REED; P. T. PULLAN
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
B. G. STUCKEY, F. L. MASTAGLIA, W. D. REED, P. T. PULLAN. Glucocorticoid Insufficiency, Achalasia, Alacrima with Autonomic and Motor Neuropathy. Ann Intern Med. 1987;106:62–64. doi: 10.7326/0003-4819-106-1-62
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Published: Ann Intern Med. 1987;106(1):62-64.
Esophageal Disorders, Gastroenterology/Hepatology, Neurology, Neuropathy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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