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Genotypic heterogeneity and clinical phenotype in triple A syndrome: a review of the NIH experience 2000-2005.
[triple a syndrome]
Triple
A
syndrome
(
AAAS
,
OMIM
#
231550
)
is
an
autosomal
recessive
condition
characterized
by
adrenal
insufficiency
,
achalasia
,
alacrima
,
neurodegeneration
and
autonomic
dysfunction
.
Mutations
in
the
AAAS
gene
on
chromosome
12
q
13
have
been
reported
in
several
subjects
with
AAAS
.
Over
the
last
5
years
,
we
have
evaluated
six
subjects
with
the
clinical
diagnosis
of
AAAS
.
Three
subjects
had
mutations
in
the
AAAS
gene
--
including
one
novel
mutation
(
IVS
8
+
1
G
>
A
)
-
-
and
a
broad
spectrum
of
clinical
presentations
.
However
,
three
subjects
with
classic
AAAS
did
not
have
mutations
in
the
AAAS
gene
on
both
alleles
.
This
finding
supports
the
notion
of
genetic
heterogeneity
for
this
disorder
,
although
other
genetic
mechanisms
can
not
be
excluded
.
Diseases
Validation
Diseases presenting
"alacrima"
symptom
neonatal adrenoleukodystrophy
triple a syndrome
This symptom has already been validated