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Recurrent vomiting as first symptom of triple-a syndrome--a case report.
[triple a syndrome]
Triple-
A
syndrome
is
a
very
rare
pathology
in
childhood
,
consisting
of
achalasia
,
alacrima
and
adrenal
insufficiency
.
The
order
of
manifestation
of
these
three
main
symptoms
is
variable
.
Here
we
present
a
case
of
Triple-
A
syndrome
with
recurrent
vomiting
caused
by
achalasia
as
first
symptom
.
At
the
same
time
,
alacrima
was
diagnosed
.
Several
years
later
adrenal
insufficiency
occurred
and
substitution
therapy
with
hydrocortisone
was
started
.
The
follow-up
of
patients
with
achalasia
should
pay
attention
to
symptoms
of
adrenal
insufficiency
.
