Anhidrosis (Congenital Anhidrotic Ectodermal Dysplasia)




Risk





  • Rare: 1:125,000,000



  • Clusters in Japan and Israel





Perioperative Risks





  • Impaired thermoregulation (risk of fatal hyperpyrexia in infants)



  • Postop chest infections





Perioperative Risks





  • Impaired thermoregulation (risk of fatal hyperpyrexia in infants)



  • Postop chest infections





Worry About





  • Absence of sweat leads to impaired thermoregulation.



  • Insensitivity to superficial and deep painful stimuli with intact tactile perception; still require considerable amounts of inhalational or IV anesthetics to maintain hemodynamic stability and obtund stress response to airway manipulation.





Overview





  • Innervation of the eccrine sweat glands is lacking; heat loss by evaporation is impaired.



  • Absent mucous glands from resp tract and esophagus; frequent resp infections.



  • Partial or complete absence of teeth.



  • Hypotrichosis (absent hair).



  • Self-mutilating behavior and mental retardation.



  • Characteristic facies: Prominent supraorbital ridges, depressed bridge and root of nose, large deformed ears, thick lips, underdeveloped maxilla and mandible.





Etiology





  • Sex-linked autosomal recessive disorder.



  • Human TRKA ( NTRK1 ) encodes the RTKs for NGF and is the gene responsible.



  • Full expression only in males; carrier females may be mildly affected.


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Sep 1, 2018 | Posted by in ANESTHESIA | Comments Off on Anhidrosis (Congenital Anhidrotic Ectodermal Dysplasia)

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