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Heterogeneity of the triple A syndrome and assessment of a case.
[triple a syndrome]
Allgrove
syndrome
(
triple
A
syndrome
)
is
a
rare
autosomal
recessive
disorder
characterized
by
achalasia
,
alacrima
,
adrenal
insufficiency
,
and--occasionally--
autonomic
instability
.
Disease
causing
mutations
have
been
found
in
the
AAAS
gene
on
12
q
13
,
but
no
strong
phenotype-genotype
correlation
could
be
found
.
We
present
a
28
year
-old
woman
with
classical
systemic
features
of
triple
A
syndrome
with
prominent
neurological
dysfunctions
/
deficits
,
including
distal
muscular
atrophy
,
progressive
muscle
weakness
and
wasting
of
both
legs
,
sensibility
dysfunction
,
hyperreflexia
and
autonomic
dysfunction
presented
with
excessive
sweating
.
DNA
sequencing
of
the
AAAS
gene
revealed
compound
heterozygosity
for
previously
reported
mutations
.
A
similar
genotype
was
previously
reported
,
but
with
a
remarkably
different
phenotype
.
Diseases
Validation
Diseases presenting
"classical systemic features"
symptom
triple a syndrome
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