title: A case of adrenoleukodystrophy presenting with manic symptoms in a patient on steroids for Addison's disease.
abstract: Adrenoleukodystrophy (ALD) is an X-linked disorder with diverse clinical presentations. A 30-year-old male, previously diagnosed with Addison's disease, on steroid supplementation for 18 years, presented to us with manic symptoms for 4 years. He was found to have white matter hypodensities in computed tomography head and had white matter signal changes in magnetic resonance imaging, and therefore a diagnosis of ALD was made.
authors.affiliation: Department of Psychiatry, Government Medical College, Thrissur, Kerala, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Jyothi
authors.affiliation: Department of Health Services, Primary Health Centre Arthat, Thrissur, Kerala, India.
authors.forename: Cyriac
authors.initials: C
authors.lastname: George
authors.affiliation: Department of Psychiatry, Government Medical College, Thrissur, Kerala, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Shaji
keywords: Addison's disease; Adrenoleukodystrophy; organic mood disorder; peroxisomal disorders