X-linked Adrenal Hypoplasia Congenita (X-AHC) Overview X-linked Adrenal Hypoplasia Congenita (X-AHC) is a rare genetic disorder caused by mutations or deletions in the NR0B1 gene (which encodes the DAX-1 protein). It primarily affects males and is characterized by underdevelopment of the adrenal glands (leading to adrenal insufficiency) and delayed puberty (hypogonadotropic hypogonadism). Symptoms 1. Infancy and Early Childhood (Adrenal Insufficiency) In the first few weeks of life, infants typically experience life-threatening salt-wasting and hormonal imbalances. Symptoms include: Severe dehydration and failure to thrive Persistent vomiting, diarrhea, and poor feeding Extremely low blood sugar (hypoglycemia)Low blood pressure and shock Darkened skin (hyperpigmentation) in certain areas, particularly on gums, nipples, and creases Electrolyte imbalances (low sodium, high potassium), which can cause heart rhythm issues 2. Adolescence and Adulthood (Hyp...
Adolescent idiopathic scoliosis Overview Adolescent idiopathic scoliosis (AIS) is a structural, side-to-side curvature of the spine exceeding 10 degrees, developing in children aged 10 to 18 without a known cause. It primarily affects adolescents during their rapid growth spurts and is more common and severe in females. Symptoms Uneven Shoulders: One shoulder is higher than the other or appears to droop. Scapular (Shoulder Blade) Prominence: One shoulder blade may stick out more or appear tilted compared to the other. Rib Hump: A visible prominence on the back or an arch in the rib cage, usually most noticeable when the child bends forward. Hip and Waist Asymmetry: One hip appears higher than the other, or the waistline looks uneven, causing a torso "lean". Uneven Arm Gap: The space between the arms and the torso may differ from side to side. Crooked Head Position : The head may not be perfectly centered with the rest of the body. Fati...