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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Congenital Adrenal Hyperplasia And Neurofibromatosis Related To Hand Tremors?

I have experienced hand tremors for about ten years and was diagnosed with an essential tremor. My hand tremors have got worse over the past two years to the point where it sometimes effects work. I have had blood tests with my gp including throid function tests and everything came back normal. my dad was recently diagnosed with congenital adrenal hyperplasia and I also have neurofibramatosis type 1 do you think there is a link? Or should I just manage this symptom?
Tue, 8 Jan 2019
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General & Family Physician 's  Response
Hi,

You have a history of Neurofibromatosis & Adrenal Hyperplasia. Neurofibromatosis affects the peripheral nervous system causing weakness, numbness complicating to tremors.

Yes, hormonal imbalance & salt insufficiency cause worsening of the tremors in patients suffering from Adrenal hyperplasia. CAH crises causes diarrhea, vomiting resulting in low Na & K with dehydration & tremors.

Nerve disorders(ET) take time to heal but there is no cure, however get treated to keep the symptoms under control or it will result in worsening of the symptoms affecting your lifestyle. Since you have been diagnosed with essential tumor, get treated by medications, surgery or high intensity USG.

Hope I have answered your query. Let me know if I can assist you further.
     
Regards,
Dr. Nupur K,
General & Family Physician
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Is Congenital Adrenal Hyperplasia And Neurofibromatosis Related To Hand Tremors?

Hi, You have a history of Neurofibromatosis & Adrenal Hyperplasia. Neurofibromatosis affects the peripheral nervous system causing weakness, numbness complicating to tremors. Yes, hormonal imbalance & salt insufficiency cause worsening of the tremors in patients suffering from Adrenal hyperplasia. CAH crises causes diarrhea, vomiting resulting in low Na & K with dehydration & tremors. Nerve disorders(ET) take time to heal but there is no cure, however get treated to keep the symptoms under control or it will result in worsening of the symptoms affecting your lifestyle. Since you have been diagnosed with essential tumor, get treated by medications, surgery or high intensity USG. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician