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ORIGINAL ARTICLE
Year : 1988  |  Volume : 36  |  Issue : 3  |  Page : 120-122

Pupillary involvement in autonomic dysfunction-A study in chronic renal failure


In Medicine, 2A Shahmina Road, K.G. Medical College, Lucknow, India

Correspondence Address:
A Chandra
In Medicine, 2A Shahmina Road, K.G. Medical College, Lucknow
India
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Source of Support: None, Conflict of Interest: None


PMID: 3255699

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The pupils are totally innervated by the Autonomic nervous system, but tests of pupillary abnormalities do not form an integral part of the battery of tests used for studying its dysfunction. We have studied the effects of ANS dysfunction of the pupil by the Adrenaline Test of Loewi and correlated it with the other tests based on Cardiovascular, and G.I.T. involvements. In all 11 out of 20 patients, with Chronic Renal Failure studied, had ANS involvement. There was statistically significant pupillary dilatation in 10 and in one case this was the only positive test. I.V. Atropine test was also positive in 10 out of the case 20. This suggests that the Adrenaline Test of Loewi is sensitive and should form an integral part of the battery of tests used for assessing .ANS' dysfunction in various disease settings as this study has shown in CRF.


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