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Achalasia, familial esophageal

MedGen UID:
395436
Concept ID:
C1860213
Disease or Syndrome
Synonym: Familial esophageal achalasia
 
Monarch Initiative: MONDO:0100457
OMIM®: 200400

Definition

Achalasia is a primary motor disorder of the esophagus. It is characterized by aperistalsis and a failure of the lower esophageal sphincter to relax due to a loss of inhibitory nitrinergic neurons in the esophageal myenteric plexus. Patients typically present with dysphagia, regurgitation, retrosternal pain, and substantial weight loss (summary by Farrokhi and Vaezi, 2007 and Gockel et al., 2010). [from OMIM]

Clinical features

From HPO
Achalasia
MedGen UID:
5023
Concept ID:
C0014848
Disease or Syndrome
A disorder of esophageal motility characterized by the inability of the lower esophageal sphincter to relax during swallowing and by inadequate or lacking peristalsis in the lower half of the body of the esophagus.
Rheumatoid arthritis
MedGen UID:
2078
Concept ID:
C0003873
Disease or Syndrome
Rheumatoid arthritis is an inflammatory disease, primarily of the joints, with autoimmune features and a complex genetic component.
Keratoconjunctivitis sicca
MedGen UID:
9620
Concept ID:
C0022575
Disease or Syndrome
Dryness of the eye related to deficiency of the tear film components (aqueous, mucin, or lipid), lid surface abnormalities, or epithelial abnormalities. Keratoconjunctivitis sicca often results in a scratchy or sandy sensation (foreign body sensation) in the eyes, and may also be associated with itching, inability to produce tears, photosensitivity, redness, pain, and difficulty in moving the eyelids.
Xerostomia
MedGen UID:
22735
Concept ID:
C0043352
Disease or Syndrome
Dryness of the mouth due to salivary gland dysfunction.

Recent clinical studies

Etiology

Tanaka S, Abe H, Sato H, Shiwaku H, Minami H, Sato C, Ogawa R, Shimamura Y, Yokomichi H, Inoue H
J Gastroenterol Hepatol 2021 Oct;36(10):2828-2833. Epub 2021 Jun 13 doi: 10.1111/jgh.15557. PMID: 34032322
Tebaibia A, Boudjella MA, Boutarene D, Benmediouni F, Brahimi H, Oumnia N
World J Gastroenterol 2016 Oct 14;22(38):8615-8623. doi: 10.3748/wjg.v22.i38.8615. PMID: 27784974Free PMC Article

Diagnosis

Tanaka S, Abe H, Sato H, Shiwaku H, Minami H, Sato C, Ogawa R, Shimamura Y, Yokomichi H, Inoue H
J Gastroenterol Hepatol 2021 Oct;36(10):2828-2833. Epub 2021 Jun 13 doi: 10.1111/jgh.15557. PMID: 34032322
Koehler K, Hmida D, Schlossmann J, Landgraf D, Reisch N, Schuelke M, Huebner A
Neurogastroenterol Motil 2020 Dec;32(12):e13923. Epub 2020 Jun 22 doi: 10.1111/nmo.13923. PMID: 32573102
Tebaibia A, Boudjella MA, Boutarene D, Benmediouni F, Brahimi H, Oumnia N
World J Gastroenterol 2016 Oct 14;22(38):8615-8623. doi: 10.3748/wjg.v22.i38.8615. PMID: 27784974Free PMC Article
Gordillo-González G, Guatibonza YP, Zarante I, Roa P, Jacome LA, Hani A
Dis Esophagus 2011 Jan;24(1):E1-4. Epub 2010 Nov 12 doi: 10.1111/j.1442-2050.2010.01124.x. PMID: 21073617

Prognosis

Tebaibia A, Boudjella MA, Boutarene D, Benmediouni F, Brahimi H, Oumnia N
World J Gastroenterol 2016 Oct 14;22(38):8615-8623. doi: 10.3748/wjg.v22.i38.8615. PMID: 27784974Free PMC Article

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