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Allgrove'S syndrome: case report and literature review.
[triple a syndrome]
This
report
concerns
two
brothers
aged
10
and
18
years
with
long
-standing
dysphagia
that
started
at
age
three
and
six
years
respectively
.
They
had
been
diagnosed
as
achalasia
and
treated
accordingly
.
The
appearance
of
additional
symptoms
and
clinical
signs
required
further
investigations
including
abdominal
sonography
,
esophago-gastroduodenoscopy
,
barium
swallow
,
esophageal
manometry
,
computerized
tomography
(
CT
)
of
abdomen
and
brain
,
biochemical
profiles
,
and
neurologic
and
ophthalmic
evaluations
.
The
results
of
these
extensive
investigations
along
with
the
clinical
evaluations
were
consistent
with
Allgrove
's
syndrome
.
Glucocorticoid
therapy
was
initiated
.
The
management
consisted
of
pneumatic
cardiac
dilatation
and
initiation
of
cortisone
treatment
.
The
patients
'
response
was
impressive
and
they
resumed
most
of
their
usual
activities
.
Diseases
Validation
Diseases presenting
"esophago-gastroduodenoscopy"
symptom
triple a syndrome
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