Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report

Allgrove syndrome is a rare autosomal recessive disorder characterized by the achalasia, alacrimia, adrenal insufficiency, which gave the additional and more recognizable name of this pathology – “Triple-A syndrome”. The clinical presentation of classical signs and symptoms of the syndrome is depend...

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Main Authors: Uliana V. Buyvalenko, Anna R. Levshina, Anna K. Eremkina, Kseniya A. Komshilova, Nadezhda M. Platonova
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2024-12-01
Series:Терапевтический архив
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Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/109156/pdf
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author Uliana V. Buyvalenko
Anna R. Levshina
Anna K. Eremkina
Kseniya A. Komshilova
Nadezhda M. Platonova
author_facet Uliana V. Buyvalenko
Anna R. Levshina
Anna K. Eremkina
Kseniya A. Komshilova
Nadezhda M. Platonova
author_sort Uliana V. Buyvalenko
collection DOAJ
description Allgrove syndrome is a rare autosomal recessive disorder characterized by the achalasia, alacrimia, adrenal insufficiency, which gave the additional and more recognizable name of this pathology – “Triple-A syndrome”. The clinical presentation of classical signs and symptoms of the syndrome is dependent on the age of the patient. Ophthalmological abnormalities are usually present at birth, whereas adrenal and gastrointestinal abnormalities are apparent after six months to the first decade of life. Neurological dysfunction from the involvement of central or autonomic nervous systems is also common with Allgrove syndrome observed during the adolescent period. Genetic analysis and detection of the AAAS gene mutation is the main step in the diagnosis of the syndrome. The presented clinical case will demonstrate the difficulties in making a diagnosis, choosing a treatment strategy for a patient with a long history of Allgrove syndrome.
format Article
id doaj-art-9fcc5877ea7d45338687fc419baa519e
institution Kabale University
issn 0040-3660
2309-5342
language Russian
publishDate 2024-12-01
publisher "Consilium Medicum" Publishing house
record_format Article
series Терапевтический архив
spelling doaj-art-9fcc5877ea7d45338687fc419baa519e2025-01-21T11:09:17Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422024-12-01961097898210.26442/00403660.2024.10.20286978562Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case reportUliana V. Buyvalenko0https://orcid.org/0000-0003-1792-6419Anna R. Levshina1https://orcid.org/0000-0002-9315-3801Anna K. Eremkina2https://orcid.org/0000-0001-6667-062XKseniya A. Komshilova3https://orcid.org/0000-0002-6624-2374Nadezhda M. Platonova4https://orcid.org/0000-0001-6388-1544Endocrinology Research CentreSechenov First Moscow State Medical UniversityEndocrinology Research CentreEndocrinology Research CentreEndocrinology Research CentreAllgrove syndrome is a rare autosomal recessive disorder characterized by the achalasia, alacrimia, adrenal insufficiency, which gave the additional and more recognizable name of this pathology – “Triple-A syndrome”. The clinical presentation of classical signs and symptoms of the syndrome is dependent on the age of the patient. Ophthalmological abnormalities are usually present at birth, whereas adrenal and gastrointestinal abnormalities are apparent after six months to the first decade of life. Neurological dysfunction from the involvement of central or autonomic nervous systems is also common with Allgrove syndrome observed during the adolescent period. Genetic analysis and detection of the AAAS gene mutation is the main step in the diagnosis of the syndrome. The presented clinical case will demonstrate the difficulties in making a diagnosis, choosing a treatment strategy for a patient with a long history of Allgrove syndrome.https://ter-arkhiv.ru/0040-3660/article/viewFile/109156/pdfallgrove syndrometriple-aquadruple aalacrimiaachalasiaadrenal insufficiencyamyotrophy
spellingShingle Uliana V. Buyvalenko
Anna R. Levshina
Anna K. Eremkina
Kseniya A. Komshilova
Nadezhda M. Platonova
Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report
Терапевтический архив
allgrove syndrome
triple-a
quadruple a
alacrimia
achalasia
adrenal insufficiency
amyotrophy
title Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report
title_full Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report
title_fullStr Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report
title_full_unstemmed Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report
title_short Allgrove syndrome in endocrinology: Difficulties of diagnosis and treatment features. Case report
title_sort allgrove syndrome in endocrinology difficulties of diagnosis and treatment features case report
topic allgrove syndrome
triple-a
quadruple a
alacrimia
achalasia
adrenal insufficiency
amyotrophy
url https://ter-arkhiv.ru/0040-3660/article/viewFile/109156/pdf
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AT annarlevshina allgrovesyndromeinendocrinologydifficultiesofdiagnosisandtreatmentfeaturescasereport
AT annakeremkina allgrovesyndromeinendocrinologydifficultiesofdiagnosisandtreatmentfeaturescasereport
AT kseniyaakomshilova allgrovesyndromeinendocrinologydifficultiesofdiagnosisandtreatmentfeaturescasereport
AT nadezhdamplatonova allgrovesyndromeinendocrinologydifficultiesofdiagnosisandtreatmentfeaturescasereport