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Triple A (Allgrove) syndrome: an unusual association with syringomyelia.
[triple a syndrome]
Triple
A
(
Allgrove
)
syndrome
was
first
described
by
Allgrove
in
1978
in
two
pairs
of
siblings
.
Since
then
,
about
100
cases
have
been
reported
,
all
of
them
displaying
an
autosomal
recessive
pattern
of
inheritance
.
Clinical
picture
is
characterized
by
achalasia
,
alacrimia
and
ACTH-resistant
adrenal
failure
.
A
progressive
neurological
syndrome
including
central
,
peripheral
and
autonomic
nervous
system
impairment
,
and
mild
mental
retardation
is
often
associated
.
The
triple
A
syndrome
gene
,
designated
AAAS
,
is
localized
on
chromosome
12
q
13
.
It
consists
of
16
exons
,
encoding
for
a
546
aminoacid
protein
called
ALADIN
(
Alacrimia-
Achalasia
-a
Drenal
Insufficiency
Neurologic
disorder
)
.