Triple A syndrome Overview AAA syndrome, also known as Allgrove syndrome, is a rare inherited genetic disorder named for its three cardinal symptoms: achalasia, adrenal insufficiency (Addison's disease), and alacrima (the inability to produce tears). It is caused by mutations in the AAAS gene and follows an autosomal recessive pattern of inheritance.The condition is a multisystem disorder characterized by a highly variable timeline of symptom onset Symptoms The Three Core Symptoms (AAA) Alacrima: The inability to produce tears, often the first noticeable sign in infancy. This can lead to dry eyes and potential vision issues if untreated. Achalasia : An esophageal motility disorder causing difficulty swallowing liquids and solids, food getting stuck in the chest, regurgitation, vomiting, and severe weight loss. Adrenal Insufficiency: A failure of the adrenal glands, leading to Addison's disease symptoms such as extreme fatigue, low blood pressure, low blood sugar (hypoglyce...
17 alpha-hydroxylase/17,20-lyase deficiency Overview 17 alpha-hydroxylase/17,20-lyase deficiency is a rare form of congenital adrenal hyperplasia caused by mutations in the CYP17A1 gene. It disrupts cortisol and sex steroid synthesis, leading to excess mineralocorticoids. This causes high blood pressure (hypertension), low potassium (hypokalemia), and abnormal sexual development Symptoms 1. High Blood Pressure and Electrolyte Imbalance Because sex hormone and cortisol production is impaired, the body overproduces precursor hormones (like corticosterone) that act as strong mineralocorticoids. Hypertension (High Blood Pressure) : Often develops in childhood or adolescence and is frequently severe. Hypokalemia (Low Potassium): The excess mineralocorticoid activity causes the kidneys to excrete too much potassium, leading to symptoms like muscle weakness or fatigue. 2. Genetic Males (46,XY) Because androgens are required for the development of male sex organs, a deficiency in these hormone...