Allgrove Syndrome, also known as the Triple “A” or the AAA Syndrome is one of the many rare autosomal recessive congenital disorders well-studied by doctors. This syndrome was discovered by Dr. Jeremy Allgrove, a pediatric endocrinologist, together with his colleagues.
Triple A or AAA Syndrome literally defines by three disorders which begins with the letter A. These are Achalasia, Addisonianism and Alacrima. Let us discuss one by one each component.
- Achalasia. This is characterized by failure of the smooth muscles to relax specifically the smooth muscles located in the lower esophageal sphincter. This eventually leads to delayed food propulsion going to the stomach and subsequent enlargement of the esophageal area. Usual symptom include dysphagia or difficulty or discomfort when swallowing, vomiting and for pediatric patients, failure to thrive.
- Addisionianism or Addison’s disease or Adrenal insufficiency which is characterized by deficiency in the production of steroid hormones specifically cortisol. In some, production of the mineralocorticoid, aldosterone, is also affected resulting to impaired water retention, sodium regulation and potassium secretion. A patient may present with hypoglycemic seizures and shock.
- Alacrima. This is characterized by decreased or there is abnormality in the production of tears. Patients usually presents with ocular or eye symptoms and reveals decrease to no tears when crying.
Treatment modalities for patients diagnosed with Allgrove or Triple “A” or AAA Syndrome is as complex as the syndrome itself. For achalasia, this requires surgical intervention depending on the severity and the affected area. For Addison’s disease, steroid or mineralocorticoid supplement, depending on what is deficient is the best treatment plan. For alacrima, continuous eye lubricants must be applied.
I mentioned in my previous that measles is having an outbreak in Metro Manila and even made mention also of the specific cities that were affected. This time, I will be sharing here one of the complications of measles which every mothers do not want to happen to their kids.
There are actually a lot of complications caused by measles infection which include blindness, encephalitis (an infection that causes brain swelling), severe diarrhea and related dehydration, ear infections, and even severe respiratory infections such as pneumonia. But what we are more concern from the mentioned complications if the children will recover from measles infection is blindness.
Measles infection can cause scarring of the cornea of the children and eventually blindness.
So mothers, if you are suspecting that your child has measles, immediately see your child’s physician for the immediate management.
Imagine being able to wake up with clear vision. With LASIK eye surgery, this can be a reality for most patients. If you are suffering from any type of common eye problem, such as astigmatism, myopia, or hyperopia, then eye LASIK in Austin may be able to restore or improve your vision in no time.
Preparing for the Procedure
Try to relax before your procedure and take steps to enhance your comfort. Wear comfortable clothing, get plenty of sleep the night before surgery, eat a light meal in the morning, and arrive to your appointment with a clean, makeup-free face. You will also most likely need to stop wearing contact lenses for approximately 2 weeks before your procedure.
During the Surgery
In most cases, the procedure can be completed quickly, usually within two hours. It is a pain-free procedure and can provide immediate and long-lasting benefits.
After the Procedure
You will need to have someone who can drive you home following the procedure. It is important that you keep your eyes closed and rest as much as possible the next day. Your surgeon will give you specific post-op instructions following the laser vision surgery. They may also recommend that you wear eye shields any time you sleep within the next 24 hours.
Be gentle with your eyes, try not to rub them or wear any eye makeup for at least a week following the surgery. Your vision may be slightly blurry or hazy immediately after surgery, but should improve by the following day.
Every patient is different so your doctor can only give you an estimate of what the process may be like. The best way to determine what to expect from eye LASIK in Austin, the surgical options available to you, and whether LASIK is the right solution for your vision needs is to speak with an experienced eye surgeon. In many cases, your surgeon will even allow you to choose which form of laser treatment you would like, if they utilize multiple lasers. The sooner you schedule your initial consultation, the sooner you can determine if laser eye surgery is right for you.