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Triple A syndrome: two novel mutations in the AAAS gene.
[triple a syndrome]
Triple
A
syndrome
is
a
rare
disease
of
autosomal
recessive
inheritance
.
It
was
first
described
in
1978
.
The
typical
triad
includes
adrenocorticotrophic-hormone-resistant
glucocorticoid
insufficiency
,
reduced
or
absent
tearing
(
alacrima
)
and
achalasia
.
But
clinical
symptoms
can
be
extremely
heterogeneous
and
of
variable
clinically
expression
.
This
report
describes
a
7
-
year
-old
boy
with
a
1
year
history
of
fatigue
and
muscle
weakness
.
Physical
examination
showed
skin
and
mucosal
hyperpigmentation
,
and
hormonal
analysis
revealed
isolated
glucocorticoid
function
.
Medical
history
was
marked
by
megaoesophagus
and
achalasia
.
The
absence
of
tears
when
crying
had
been
noted
since
birth
.
In
the
presence
of
the
classical
triad
,
triple
A
syndrome
was
diagnosed
.
Clinical
diagnosis
was
confirmed
by
molecular
analysis
of
the
AAAS
gene
on
chromosome
12
q
13
.
The
novel
compound
heterozygous
mutation
c
.
1304
delA
and
c
.
1292
-
1294
delTTCinsA
was
found
.
Diseases
Validation
Diseases presenting
"fatigue"
symptom
benign recurrent intrahepatic cholestasis
cholangiocarcinoma
congenital adrenal hyperplasia
cowden syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dracunculiasis
erdheim-chester disease
esophageal carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
lymphangioleiomyomatosis
neuralgic amyotrophy
pleomorphic liposarcoma
systemic capillary leak syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
x-linked adrenoleukodystrophy
This symptom has already been validated