Riley-Day Syndrome (congenital familial dysautonomia).

نویسنده

  • C G Keith
چکیده

THIS rare disease is of particular importance to ophthalmologists because of the congenital failure of tear production and corneal anaesthesia. It was first described as an entity by Riley, Day, Greeley, and Langford (1949). Since then, many further cases have been reported (Braun-Vallon and Bessman, 1960; Levin, 1960; Laxdal, Khera, and Haworth, 1961; Thieffry, Joseph, Martin, Job, and Lortholary, 1961). The importance of its recognition by ophthalmic surgeons has been stressed in the American literature (Dunnington, 1954; Liebman, 1956, 1957; Pilger, 1957). No reports have been made of this disease, as such, in the British ophthalmic literature, although Duke-Elder (1930) and Coverdale (1948) included cases which were probably of this disease when considering alacrimia congenita. The condition occurs in children of Jewish parentage, and is characterized by the following features: failure to thrive, recurrent respiratory infection, diarrhoea, emotional instability, skin-blotching, insensitivity to pain, hyporeflexia, corneal anaesthesia, and failure of lacrimation. Various other curious features have been reported, namely, spontaneous fractures, as occurred in the case reported here, lability of blood pressure, and abnormal reactions to anaesthesia (Kritchman, Schwartz, and Papper, 1959). Ureteric malformations have been reported by de Toni, Nordio, and Bertolini (1960), and epilepsy by Peralta Serrano (1961).

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عنوان ژورنال:
  • The British journal of ophthalmology

دوره 49 12  شماره 

صفحات  -

تاریخ انتشار 1965