Adrenomyeloneuropathy.

[adrenomyeloneuropathy]

A 29 -year -old male patient presented with progressive spastic paraparesis of three years duration . He also had gait ataxia which led to recurrent falls . In addition , there was pigmentation of the skin creases , tongue and buccal mucosa . His clinical course was remarkable by recurrent episodes of diarrhea , pulmonary tuberculosis . The investigatory work up showed a normal MRI scan of the brain , spinal cord and normal abdominal structures . The basal serum cortisol levels were low . Adrenomyeloneuropathy was diagnosed and he was started on corticosteroid supplementation . Mineralocorticoid supplementation also is planned in the follow up . The case is being presented for its rarity .