Adrenoleukodystrophy: unusual clinical and radiographic manifestation |
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Authors: | GA Williams GS Pearl MA Pollack RE Anderson |
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Affiliation: | Department of Pathology, Orlando Regional Healthcare System, Fla., USA. |
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Abstract: | Adrenoleukodystrophy is an X-linked recessive peroxisomal disorder, characterized by progressive neurologic deterioration due to cerebral white matter demyelination and adrenal insufficiency. Onset is usually in childhood between ages 5 and 10, and its course is fatal within approximately 5 years. Initial symptoms are behavioral, gait, and auditory disturbances and may be a diagnostic dilemma. Abnormally raised plasma very long chain fatty acids (VLCFA) are diagnostic; computed tomography and magnetic resonance imaging findings show symmetrical occipital white matter lesions which progress in a rostralcaudal direction. |
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