Alacrima

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Alacrima
Specialty Ophthalmology
Differential diagnosis Triple-A syndrome

Alacrima refers to an abnormality in tear production that could mean reduced tear production or absent tear production. Because a lack of tears presents in only in a few rare disorders, it aids in diagnosis of these disorders, including Triple-A syndrome and NGLY1 deficiency. [1] [2] [3]

Alacrima can be formally diagnosed through a Schirmer's test.

Related Research Articles

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Dry eye syndrome condition of having dry eyes

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Triple-A syndrome Human disease

Triple-A syndrome or AAA syndrome, is a rare autosomal recessive congenital disorder. In most cases, there is no family history of it. The syndrome was first identified by Jeremy Allgrove and colleagues in 1978. The syndrome involves achalasia, addisonianism, and alacrima. Alacrima is usually the earliest manifestation. It is a progressive disorder that can take years to develop the full-blown clinical picture.

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ALG8 protein-coding gene in the species Homo sapiens

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NEU1 protein-coding gene in the species Homo sapiens

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NGLY1 deficiency Human disease

NGLY1 deficiency is a very rare genetic disorder caused by biallelic pathogenic variants in NGLY1. It is an autosomal recessive disorder. Errors in deglycosylation are responsible for the symptoms of this condition. Clinically, most affected individuals display developmental delay, lack of tears, elevated liver transaminases and a movement disorder. NGLY1 deficiency is difficult to diagnose, and most individuals have been identified by exome sequencing.

References

  1. "NGLY1 Foundation". NGLY1 deficiency.
  2. Need AC, Shashi V, Hitomi Y, Schoch K, Shianna KV, McDonald MT, Meisler MH, Goldstein DB (May 2012). "Clinical application of exome sequencing in undiagnosed genetic conditions". J Med Genet. 49 (6): 353–61. doi:10.1136/jmedgenet-2012-100819. PMC   3375064 . PMID   22581936.
  3. Enns GM, Shashi V, Bainbridge M, et al. (March 2014). "Mutations in NGLY1 cause an inherited disorder of the endoplasmic reticulum-associated degradation pathway". Genet. Med. 16 (10): 751–8. doi:10.1038/gim.2014.22. PMC   4243708 . PMID   24651605.
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