title: Achalasia cardia and alacrima in an infant.
abstract: Achalasia cardia is a very rare entity in children and may go undiagnosed for many months if not suspected. We report a case of a 4 months old child who presented with regurgitation of milk and solids and failure to thrive. She was initially treated as gastro-oesophageal reflux. There was a family history of achalasia cardia in the kins with resultant death in one and grossly delayed milestones in the other. Along with achalasia cardia, our patient had alacrima, which brought attention to the associations of achalasia with 'double A', 'triple A' and the '4 A' syndromes.
authors.affiliation: Department of Radiology, Combined Military Hospital, Karachi. afshan_fayyaz@hotmail.com
authors.forename: Afshan
authors.initials: A
authors.lastname: Fayyaz
authors.forename: Salman
authors.initials: S
authors.lastname: Ali
mesh_terms: D000324:Adrenocorticotropic Hormone / Q000172:deficiency; D002299:Cardia; D004931:Esophageal Achalasia / Q000235:genetics*; D005260:Female; D006801:Humans; D007223:Infant; D007766:Lacrimal Apparatus Diseases / Q000235:genetics*; D013577:Syndrome
chemical_list: D000324:Adrenocorticotropic Hormone