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Adrenoleukodystrophy



Neonatal adrenoleukodystrophy
Neonatal adrenoleukodystrophy


Adrenoleukodystrophy

Alternative Names:

X-linked adrenoleukodystrophy; Melanodermic leukodystrophy; Neonatal adrenoleukodyrstophy; NALD
Symptoms:

Neonatal type:

  • seizures
  • delayed neurological development
  • frequent respiratory infections
  • darkening of the skin color (increased skin pigmentation)


Childhood and adolescent type:

  • hyperactivity
  • decreasing school performance
  • decreased understanding of verbal communication (aphasia)
  • crossed eyes
  • swallowing difficulties
  • changes in muscle tone, especiallymuscle spasms and spasticity

Progressive nervous system deterioration

Symptoms of adrenal gland failure

  • muscular weakness (asthenia)
  • wasting (loss of weight, muscle mass)
  • decreased appetite
  • increased skin pigmentation

Signs and tests:
  • blood levels showing elevated long chain fatty acids
  • skin biopsy and fibroblast culture showing elevated levels of long chain fatty acids
  • MRI of the head showing damage to the white matter of the brain (white matter is a specific type of brain tissue)
  • head CT shows damage to the white matter of the brain
  • chromosome study (neolatal form - defects at chromosome 7q21-q22)



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