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1/3. Sensory and autonomic polyneuropathy associated with hypergammaglobulinemia.

    Sensory and autonomic polyneuropathy is a rare disease characterized by a sensory nerve disorder and postganglionic autonomic dysfunction. The etiology of this disease is unknown. We described a 51-year-old woman who had a chronic sensory dominant polyneuropathy and dysautonomia associated with hypergammaglobulinemia. In the previous reports of sensory and autonomic polyneuropathy, not much attention was given to coexisting hypergammaglobulinemia. By reviewing the literatures, hypergammaglobulinemia was frequently present in these case reports. This fact leads us to consider that an immunological mechanism may be playing a role in the pathogenesis of this disorder.
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ranking = 1
keywords = rare disease
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2/3. infant botulism--the first reported case from queensland.

    infant botulism is a rare disease with previous reports in australia originating from its southern states. The first case to be recognized from queensland is described in a four-month-old white girl. Complications included respiratory failure, the syndrome of inappropriate antidiuretic hormone secretion, urinary tract infection and autonomic dysfunction.
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ranking = 1
keywords = rare disease
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3/3. Gastrointestinal autonomic nerve tumour presenting as small bowel volvulus: a rare disease with a rare presentation.

    A 78-year-old Chinese woman presented with recurrent postprandial abdominal pain. Computerised tomography revealed a small bowel tumour causing volvulus of a segment of the small bowel. laparotomy confirmed an extraluminal ileal tumour with partial volvulus of the involved small bowel segment. Small bowel resection was done. Histological and ultrastructural studies confirmed a gastrointestinal autonomic nerve tumour. We review the medical literature on this rare tumour.
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ranking = 4
keywords = rare disease
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