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A Rare Case in the Emergency Department: Holmes-Adie Syndrome
Holmes-Adie syndrome (HAS) is a rare syndrome characterized by tonic pupil and the absence of deep tendon reflexes. HAS was first described in 1931 and is usually idiopathic, with incidences reported to be 4-7 per 100,000. Although tonic pupil is usually unilateral, it can also be bilateral. Enlarge...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909970/ https://www.ncbi.nlm.nih.gov/pubmed/27437522 http://dx.doi.org/10.5505/1304.7361.2015.59144 |
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author | COLAK, Sahin ERDOGAN, Mehmet Ozgur SENEL, Ahmet KIBICI, Ozge KARABOGA, Turker AFACAN, Mustafa Ahmet AKDEMIR, Hizir Ufuk |
author_facet | COLAK, Sahin ERDOGAN, Mehmet Ozgur SENEL, Ahmet KIBICI, Ozge KARABOGA, Turker AFACAN, Mustafa Ahmet AKDEMIR, Hizir Ufuk |
author_sort | COLAK, Sahin |
collection | PubMed |
description | Holmes-Adie syndrome (HAS) is a rare syndrome characterized by tonic pupil and the absence of deep tendon reflexes. HAS was first described in 1931 and is usually idiopathic, with incidences reported to be 4-7 per 100,000. Although tonic pupil is usually unilateral, it can also be bilateral. Enlarged and irregular pupil is usually noticed by the patient. Light reflex is weak or unresponsive. Another characteristic of HAS is the absence of deep tendon reflexes, and unilateral involvement is more common. This case report emphasizes that HAS should be considered in the differential diagnosis of patients presenting to the emergency department with anisocoria, and the dilute pilocarpine test can be used in diagnosis. |
format | Online Article Text |
id | pubmed-4909970 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-49099702016-07-19 A Rare Case in the Emergency Department: Holmes-Adie Syndrome COLAK, Sahin ERDOGAN, Mehmet Ozgur SENEL, Ahmet KIBICI, Ozge KARABOGA, Turker AFACAN, Mustafa Ahmet AKDEMIR, Hizir Ufuk Turk J Emerg Med Case Report Holmes-Adie syndrome (HAS) is a rare syndrome characterized by tonic pupil and the absence of deep tendon reflexes. HAS was first described in 1931 and is usually idiopathic, with incidences reported to be 4-7 per 100,000. Although tonic pupil is usually unilateral, it can also be bilateral. Enlarged and irregular pupil is usually noticed by the patient. Light reflex is weak or unresponsive. Another characteristic of HAS is the absence of deep tendon reflexes, and unilateral involvement is more common. This case report emphasizes that HAS should be considered in the differential diagnosis of patients presenting to the emergency department with anisocoria, and the dilute pilocarpine test can be used in diagnosis. Elsevier 2016-03-02 /pmc/articles/PMC4909970/ /pubmed/27437522 http://dx.doi.org/10.5505/1304.7361.2015.59144 Text en © 2015 Emergency Medicine Association of Turkey. Production and Hosting by Elsevier B.V. Originally published in [2015] by Kare Publishing. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report COLAK, Sahin ERDOGAN, Mehmet Ozgur SENEL, Ahmet KIBICI, Ozge KARABOGA, Turker AFACAN, Mustafa Ahmet AKDEMIR, Hizir Ufuk A Rare Case in the Emergency Department: Holmes-Adie Syndrome |
title | A Rare Case in the Emergency Department: Holmes-Adie Syndrome |
title_full | A Rare Case in the Emergency Department: Holmes-Adie Syndrome |
title_fullStr | A Rare Case in the Emergency Department: Holmes-Adie Syndrome |
title_full_unstemmed | A Rare Case in the Emergency Department: Holmes-Adie Syndrome |
title_short | A Rare Case in the Emergency Department: Holmes-Adie Syndrome |
title_sort | rare case in the emergency department: holmes-adie syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909970/ https://www.ncbi.nlm.nih.gov/pubmed/27437522 http://dx.doi.org/10.5505/1304.7361.2015.59144 |
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