Allgrove syndrome with amyotrophy

Pract Neurol. 2022 Jun;22(3):213-215. doi: 10.1136/practneurol-2021-003192. Epub 2021 Dec 30.

Abstract

Allgrove syndrome is an autosomal recessive disease mostly caused by mutations in the AAAS gene. It has variable clinical features but its cardinal features comprise the triad of achalasia, alacrimia and adrenal insufficiency. It typically develops during the first decade of life, but some cases have second and third decades onset. We describe a 25-year-old woman with Allgrove syndrome who had progressive amyotrophy, achalasia, dry eyes and adrenal insufficiency since childhood. Awareness of its neurological manifestations and multisystem features helps to shorten the time for diagnosis and allow appropriate symptomatic treatment.

Keywords: muscle disease; neurogenetics; neuropathy.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Insufficiency* / complications
  • Adrenal Insufficiency* / diagnosis
  • Adrenal Insufficiency* / genetics
  • Adult
  • Child
  • Esophageal Achalasia* / complications
  • Esophageal Achalasia* / diagnosis
  • Esophageal Achalasia* / genetics
  • Female
  • Humans
  • Mutation

Supplementary concepts

  • Achalasia Addisonianism Alacrimia syndrome