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Holmes-adies on Medlink

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  • linja@aol.com
     I saw this on medlink.com on a page called Chronic autonomic neuropathies by James Russell and Patience Reading. They link Adie s under Cholinergic failure
    Message 1 of 1 , Jun 9, 2007
       I saw this on medlink.com on a page called Chronic autonomic neuropathies by James Russell and Patience Reading. They link Adie's under Cholinergic failure along with
        • anhidrosis
        • atonic bladder
        • Adie pupil
        • alacrima
        • cardiovagal failure
        • constipation
        • impotence
        • detrusor areflexia.

      [You can find most of these terms on wikipedia.org or search Google for "define
      anhydrosis" or whatever.]

      Later the article says:
      <<
      Holmes-Adie syndrome. This syndrome is associated with a tonic pupil (initially presents unilaterally but may progress to bilateral), with tendon areflexia. Autonomic neuropathy and, less commonly, peripheral neuropathy have been associated with this syndrome; autonomic dysfunction occurs in 28% to 40% of patients (Jacobson and Hiner 1998). The range of autonomic disturbance includes orthostatic hypotension, impairment of cardiovascular reflexes, chronic diarrhea, and
      coughing. The combination of tonic pupil, areflexia, and generalized or segmental anhidrosis is also known as the Ross syndrome. Hyperhidrosis has been reported coincident with this syndrome
      (Coskun et al 2004). Adie pupil may be associated with different neuropathies, such as hereditary, inflammatory, paraneoplastic, diabetic, amyloid, and alcohol-related neuropathies. Adie pupil may also occur with sensory neuronopathy as part of Sjögren syndrome (Martinelli 2000).>>


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