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Selective loss of cholinergic sudomotor fibers causes anhidrosis in Ross syndrome

Ross syndrome consists of segmental hyperhidrosis with widespread anhidrosis, Adie syndrome, and areflexia. The cause of this disorder is unknown. Selective degeneration of cholinergic fibers or of neural crest–derived structures has been suggested. We present clinical and skin biopsy data of 4 pati...

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Published in:Annals of neurology 2002-08, Vol.52 (2), p.247-250
Main Authors: Sommer, Claudia, Lindenlaub, Thies, Zillikens, Detlef, Toyka, Klaus V., Naumann, Markus
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container_title Annals of neurology
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description Ross syndrome consists of segmental hyperhidrosis with widespread anhidrosis, Adie syndrome, and areflexia. The cause of this disorder is unknown. Selective degeneration of cholinergic fibers or of neural crest–derived structures has been suggested. We present clinical and skin biopsy data of 4 patients, providing evidence of reduced cholinergic sweat gland innervation in hypohidrotic skin by morphometric analysis. These findings indicate a selective degenerative process of the cholinergic sudomotor neurons.
doi_str_mv 10.1002/ana.10256
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subjects Adult
Biological and medical sciences
Biopsy
Cholinergic Fibers - pathology
Dermatology
Female
Humans
Hyperhidrosis - complications
Hypohidrosis - etiology
Hypohidrosis - pathology
Male
Medical sciences
Middle Aged
Pupil Disorders - complications
Reflex, Abnormal
Skin - pathology
Skin involvement in other diseases. Miscellaneous. General aspects
Sweat Glands - innervation
Syndrome
title Selective loss of cholinergic sudomotor fibers causes anhidrosis in Ross syndrome
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