Gut Dysmotility in Selective Postganglionic Cholinergic Dysautonomia.
- Author:
Yeon Seok SEO
1
;
Chi Wook SONG
;
Byung Won HUR
;
Hwang Rae CHUN
;
Chang Don KANG
;
Jung Whan LEE
;
Yoon Tae JEEN
;
Hoon Jai CHUN
;
Soon Ho UM
;
Chang Duck KIM
;
Ho Sang RHYU
;
Jin Hai HYUN
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. songcw@kuccnx.korea.ac.kr
- Publication Type:Case Report
- Keywords:
Autonomic neuropathy;
Selectivbe postganglionic cholinergic dysautonomia;
Gut dysmotility
- MeSH:
Bethanechol;
Gastrointestinal Tract;
Humans;
Magnesium Oxide;
Massage;
Milk;
Primary Dysautonomias*;
Rare Diseases;
Saliva;
Sweat;
Sweating;
Tears;
Urinary Bladder
- From:Korean Journal of Gastrointestinal Motility
1999;5(2):156-161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postganglionic cholinergic dysautonomia is a rare disease characterized by impaired secretion of tears and saliva, generalized absence of sweating, lack of cardiac response to carotid massage and atony of the gastrointestinal tract and urinary bladder. Autonomic function tests show the preservation of sympathetic adrenergic functions in contrast to the generalized involvement of postganglionic parasympathetic and sympathetic cholinergic nerves. Recently, we experienced a patient with gut dysmotility in selective postganglionic cholinergic dysautonomia. She is now being treated with bethanechol and milk of magnesia and has experienced minimal symptom improvement.