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X-linked adrenoleukodystrophy: therapeutic approaches to distinct phenotypes.
[adrenomyeloneuropathy]
X-
linked
adrenoleukodystrophy
(
X-
ALD
)
in
males
can
present
with
eight
distinct
phenotypes
,
which
vary
greatly
in
respect
to
phenotypic
expression
,
age
of
onset
and
rate
of
progression
and
therapy
.
The
plasma
very
long
chain
fatty
acid
assay
permits
precise
diagnosis
and
is
already
abnormal
at
birth
.
The
clinical
features
,
molecular
biology
,
pathogenesis
,
and
therapeutic
approaches
,
including
the
indications
for
Hematopoietic
Stem
Cell
Transplants
(
HCT
)
and
dietary
therapy
are
discussed
,
with
emphasis
on
the
asymptomatic
,
childhood
cerebral
,
and
adrenomyeloneuropathy
phenotypes
.
The
rationale
for
neonatal
screening
and
the
profound
effect
that
such
screening
would
have
on
the
therapy
of
X-
ALD
,
including
the
role
of
HCT
,
are
discussed
.
Diseases
Validation
Diseases presenting
"very long chain fatty acid assay"
symptom
adrenomyeloneuropathy
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