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
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STUCKEY BG, MASTAGLIA FL, REED WD, PULLAN PT. 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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