Triple A syndrome mimicking cystic fibrosis


Cesur Y. , BEREKET A., ANADOL D., KİPER N., GÖÇMEN A., YORDAM N.

JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM, cilt.13, ss.329-331, 2000 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 13 Konu: 3
  • Basım Tarihi: 2000
  • Doi Numarası: 10.1515/jpem.2000.13.3.329
  • Dergi Adı: JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM
  • Sayfa Sayısı: ss.329-331

Özet

We report a 2-8/12 year-old male who presented with symptoms resembling cystic fibrosis (failure to thrive, developmental delay and recurrent diarrhea) and had elevated sweat chloride concentration, Mucosal hyperpigmentation led to the diagnosis of adrenal insufficiency which was ultimately shown to be component of triple A syndrome (achalasia, alacrima, adrenal insufficiency). Elevated sweat chloride concentration normalized after initiation of adrenal replacement therapy. We suggest that non-CF conditions causing elevated sweat chloride concentration should be considered in patients with atypical findings or who do not have objective evidence of pulmonary or exocrine pancreatic disease.