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=== Familial dysautonomia === [[Familial dysautonomia]] is a genetic condition that can be associated with a lack of overflow tears ([[Alacrima]]) during emotional crying.<ref>{{cite journal|author1=Felicia B Axelrod|author2=Gabrielle Gold-von Simson|date=October 3, 2007|title=Hereditary sensory and autonomic neuropathies: types II, III, and IV|journal=Orphanet Journal of Rare Diseases|volume=2|issue=39|pages=39|doi=10.1186/1750-1172-2-39|pmc=2098750|pmid=17915006 |doi-access=free }}</ref> Obstruction of the [[Lacrimal punctum|punctum]], [[nasolacrimal canal]], or [[nasolacrimal duct]] can cause even normal levels of the basal tear to overflow onto the face ([[epiphora (medicine)|Epiphora]]), giving the appearance of constant psychic tearing. This can have significant social consequences.{{Citation needed|date=August 2019}}
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