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Adrenomyeloneuropathy in patients with 'Addison's disease': genetic case analysis.
[adrenomyeloneuropathy]
To
review
the
clinical
presentations
and
diagnostic
issues
in
adrenomyeloneuropathy
and
adrenoleukodystrophy
,
which
are
different
presentations
of
the
same
single
gene
disorder
.
Observational
study
.
Three
generations
of
an
affected
kindred
.
None
.
Neurological
features
suggestive
of
adrenoleukodystrophy
or
adrenomyeloneuropathy
.
Measurement
of
very
long
chain
fatty
acids
.
Molecular
analysis
of
the
adrenoleukodystrophy
gene
.
Three
adults
presented
with
adrenomyeloneuropathy
and
two
children
with
adrenoleukodystrophy
.
Circulating
concentrations
of
long
chain
fatty
acids
were
raised
consistent
with
clinical
features
.
A
mutation
in
exon
6
of
the
adrenoleukodystrophy
gene
(
P
543
L
)
was
identified
.
This
had
not
previously
been
identified
but
has
subsequently
been
reported
by
other
groups
.
Adrenomyeloneuropathy
should
be
considered
in
the
differential
diagnosis
in
male
patients
presenting
with
adrenal
failure
.
Early
diagnosis
allows
genetic
counselling
in
such
families
and
may
become
more
important
as
treatment
strategies
evolve
.
Diseases
Validation
Diseases presenting
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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