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Dilated Pupil in a Patient With Hyperhidrosis

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Jonathan A. Micieli, MD, CM, University of Toronto, 340 College St, Ste 501, Toronto, ON M5T 2S8, Canada (jmicieli@kensingtonhealth.org).

Published Online: June 20, 2019. doi:10.1001/jama.2019.8589

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for providing permission to share her information.

References
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Gross  JR, McClelland  CM, Lee  MS.  An approach to anisocoria.  Curr Opin Ophthalmol. 2016;27(6):486-492. doi:10.1097/ICU.0000000000000316PubMedGoogle ScholarCrossref
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Moeller  JJ, Maxner  CE.  The dilated pupil: an update.  Curr Neurol Neurosci Rep. 2007;7(5):417-422. doi:10.1007/s11910-007-0064-9PubMedGoogle ScholarCrossref
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Howard  J, Wigley  J, Rosen  G, D’mello  J.  Glycopyrrolate: it’s time to review.  J Clin Anesth. 2017;36:51-53. doi:10.1016/j.jclinane.2016.09.013PubMedGoogle ScholarCrossref
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Pariser  DM, Ballard  A.  Topical therapies in hyperhidrosis care.  Dermatol Clin. 2014;32(4):485-490. doi:10.1016/j.det.2014.06.008PubMedGoogle ScholarCrossref
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Naicker  P, Anoopkumar-Dukie  S, Grant  GD, Kavanagh  JJ.  Anticholinergic activity in the nervous system: consequences for visuomotor function.  Physiol Behav. 2017;170:6-11. doi:10.1016/j.physbeh.2016.12.010PubMedGoogle ScholarCrossref
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