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Multiple endocrine disorders associated with adrenomyeloneuropathy and a novel mutation of the ABCD1 gene.
[adrenomyeloneuropathy]
X-
linked
adrenomyeloneuropathy
(
X-
AMN
)
is
a
genetic
disorder
that
primarily
affects
the
adrenal
cortex
and
the
nervous
system
.
The
disease
shows
a
wide
range
of
phenotypic
expression
,
age
of
onset
,
and
rate
of
progression
.
We
present
a
thalassemic
23
-
year
-old
man
with
X-
AMN
and
multiple
endocrine
disorders
.
At
age
2
years
,
he
was
diagnosed
with
thalassaemia
intermedia
,
and
he
was
receiving
occasional
blood
transfusions
and
maintaining
an
adequate
hemoglobin
level
without
signs
of
extramedullar
hematopoiesis
or
hemosiderosis
.
During
adolescence
,
he
was
diagnosed
with
growth
hormone
deficiency
,
primary
hypothyroidism
,
and
primary
adrenal
insufficiency
.
In
his
early
20
s
he
demonstrated
progressive
tetraparesis
,
and
the
diagnosis
of
X-
AMN
was
confirmed
by
DNA
analysis
of
the
ABCD
1
gene
.
T
his
patient
expands
the
phenotype
X-
AMN
by
adding
growth
hormone
deficiency
and
hypothyroidism
.
Diseases
Validation
Diseases presenting
"and the diagnosis of x-amn was confirmed by dna analysis of the abcd1 gene"
symptom
adrenomyeloneuropathy
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