Detection of subclinical autonomic neuropathy in constipated patients using a sweat test.

Author:

Altomare D,Pilot M A,Scott M,Williams N,Rubino M,Ilincic L,Waldron D

Publisher

BMJ

Subject

Gastroenterology

Reference32 articles.

1. False positive rate Impairment of sweating is associated with various manifestations of autonomic neuropathy with and without the presence of other symptoms such as postural hypotension.2' Sweat regulation has been used as a test of autonomic nervous system function in diabetics since 1942.22 Camilleri and Fealey,6 using the thermoregulatory test and a quantitative sudomotor axon reflex test, showed in eight patients with gastrointestinal problems that an idiopathic autonomic denervation may be an aetiological factor in non-organic intestinal dysmotility. All these patients had patchy anhidrosis and two had positive cardiovascular tests

2. Disorders of gastrointestinal motility associated with diabetes mellitus;Feldman, M.; Schiller, L.R.;Ann Intern Med,1983

3. Sun WM, Donnelly TC, Read NW. Idiopathic constipation associated with impaired urethrovescical and sacral reflex function;Kerrigan, D.D.; Lucas, M.G.;Br J Surg,1989

4. Constipation with colonic inertia. A manifestation of systemic disease?;true;Dig Dis Sci,1983

5. Diagnosis and management of diabetic autonomic neuropathy;Ewing, D.J.; Clarke, B.F.;BrMedJ,1982

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