ISSN: 1859 - 2872
Case report of adrenoleukodystrophy in a patient with familial adrenal insufficiency diagnosed and treated at 108 Military Central Hospital
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Abstract
Sex-linked ALD is a genetic disorder that occurs mainly in men, affecting the nervous system and adrenal glands. A 37-year-old male patient with a history of adrenal insufficiency at age 23, now regularly maintains hydrocortisone 10mg ´ 2 tablets/day. This time entered the hospital with symptoms of weakness of the extremities, difficulty walking, difficulty speaking, difficulty swallowing. Subclinical results showed that very long-chain fatty acids (VLCFA) increased, cortisol quantification decreased, magnetic resonance imaging of the brain with cerebellar myelin-type lesions, cerebral bridges, cerebral peduncles, and bilaterally symmetrical thalamus. Patients were diagnosed with adrenoleukodystrophy and treated for a regimen of fat reduction, correction of adrenal hormones and rehabilitation. The disease improves more clinical symptoms.
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References
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