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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
"spinal cord"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
canavan disease
child syndrome
congenital toxoplasmosis
cystinuria
erdheim-chester disease
esophageal carcinoma
gm1 gangliosidosis
homocystinuria without methylmalonic aciduria
krabbe disease
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
pleomorphic liposarcoma
proteus syndrome
thoracic outlet syndrome
triple a syndrome
von hippel-lindau disease
x-linked adrenoleukodystrophy
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