Twenty years of dysuria in a patient with Addison's disease: a case report.
X-linked adrenoleukodystrophy is an X-linked recessive disorder affecting approximately 1 in 21,000 males, and is estimated to be the cause of adrenal insufficiency in approximately 35% of patients with idiopathic Addison's disease. The disease is caused by defective beta-oxidation of fatty acids in peroxisomes that leads to elevated serum concentrations of very-long-chain saturated fatty acids. The accumulation causes a primary adrenal insufficiency and progressive neurological dysfunction. This article presents a case of X-linked adrenoleukodystrophy in its milder form, adrenomyeloneuropathy.
Nanci
Gabriella N
GN
Department of Internal Medicine, Atlanta Medical Center 303 Parkway Drive NE, Atlanta, GA 30312 USA. gnnancimd@aol.com
Collier
Millard J
MJ
Rose
Sheldon H
SH