4 a Syndrome (Adrenocortical insufficiency associated with achalasia, alacrima, autonomic and other neurological abnormalities) 656c28g 656c28g 656c28g 656c28g 656c28g 4
General: Associated with autonomic and other neurologic abnormalities
Ocular: Alacrima
Clinical: Adreno-coritcal infufficiency; achalsia
Davidoff E, Friedman AH. Congenital alacrima. Surv Ophthalmol 1997; 22: 113-
Gazarian M, Cowell CT, Bonney M, et al. The 4a syndrome: adrenocortal insufficiency associated with achalasia, alacrima, autonomic and other neurological abnormalities. Eur J Pediat 1995; 154: 18-23.
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