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Adrenomyeloneuropathy presenting with adrenal insufficiency.
[x-linked adrenoleukodystrophy]
Adrenomyeloneuropathy
(
AMN
)
,
one
of
the
variants
of
X-
linked
adrenoleukodystrophy
(
ALD
)
,
is
inherited
peroxisomal
disorder
associated
with
the
accumulation
of
very
long
chain
fatty
acids
(
VLCFA
)
.
AMN
is
characterized
primarily
by
involvements
of
long
ascending
and
descending
tracts
of
the
spinal
cord
and
peripheral
neuropathy
,
which
leads
to
spastic
paraparesis
and
urinary
and
erectile
dysfunction
.
We
experienced
the
AMN
case
of
a
33
-
year
-old
man
presenting
bilateral
progressive
spastic
paraparesis
,
impotence
and
urge
incontinence
with
primary
adrenal
failures
,
as
confirmed
by
increased
serum
of
VLCFA
concentrations
.
Considering
that
somatosensory
evoked
potentials
in
posterior
tibial
nerve
was
the
only
abnormal
finding
in
electrophysiologic
findings
when
compared
with
the
severe
spastic
gait
pattern
shown
,
it
is
necessary
to
follow
up
with
electrophysiologic
studies
.
Diseases
Validation
Diseases presenting
"peripheral neuropathy"
symptom
adrenomyeloneuropathy
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
kallmann syndrome
krabbe disease
neuralgic amyotrophy
oculocutaneous albinism
pyruvate dehydrogenase deficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
waldenström macroglobulinemia
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated