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Congenital cholinergic nervous system dysfunction in identical twins

✍ Scribed by Dr. C. L. Kien; Jurgen Herrmann; Walter Hogan

Publisher
John Wiley and Sons
Year
1981
Tongue
English
Weight
362 KB
Volume
10
Category
Article
ISSN
0364-5134

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✦ Synopsis

Abstract

We report identical male twins with secretory diarrhea, craniofacial abnormalities often found in G syndrome, hypospadias, and abnormalities of the cholinergic nervous system including achalasia, decreased tearing, corneal hypesthesia, positive Mecholyl test (eye and esophagus), and decreased sweating. The children also lacked fungiform papillae but were clinically distinct from patients with either the Riley‐Day syndrome or acquired dysfunction of the autonomic nervous system. Assessment of autonomic nervous system function should be considered in infants with recurrent diarrhea or swallowing disorders or in children with morphological characteristics suggesting G syndrome.

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