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A random Abstract
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X-linked mental retardation with alacrima and achalasia-Triple A syndrome or a new syndrome?
[triple a syndrome]
We
describe
a
consanguineous
Israeli
Arab
kindred
with
five
males
in
two
interrelated
families
with
intellectual
disabilities
,
alacrima
,
achalasia
,
and
mild
autonomic
dysfunction
.
Adrenal
function
is
normal
.
Their
phenotype
is
similar
to
the
phenotype
observed
in
autosomal
recessive
Triple
A
syndrome
except
for
the
presence
of
mental
retardation
in
all
affected
individuals
.
The
pedigree
is
compatible
with
either
X-
linked
or
autosomal
recessive
inheritance
.
Sequencing
of
the
AAAS
gene
causing
autosomal
recessive
Triple
A
syndrome
did
not
reveal
mutations
.
Genotyping
of
affected
family
members
identified
a
16
.
4
 
Mb
continuous
segment
of
identical
alleles
shared
by
the
patients
between
markers
rs
2748314
and
rs
5906782
on
Xp
11
.
23
-
p
21
,
establishing
linkage
to
chromosome
X
.
This
study
further
confirms
genetic
heterogeneity
in
Triple
A
syndrome
and
points
to
a
clinically
different
subtype
including
significant
cognitive
impairment
.
Diseases
Validation
Diseases presenting
"cognitive impairment"
symptom
22q11.2 deletion syndrome
cadasil
canavan disease
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
kabuki syndrome
locked-in syndrome
phenylketonuria
sneddon syndrome
triple a syndrome
wolf-hirschhorn syndrome
This symptom has already been validated