Allgrove’s Syndrome: Two Case Reports and Review of Literature

Introduction: Allgrove’s syndrome (AS) is a rare cause of adrenal insufficiency inherited in an autosomal recessive pattern. Usually the disease is manifested during the first decade of life with severe hypoglycaemia, which can lead to sudden death. Case Present...

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Main Authors: Daniel Zamanfar, Elika Shokri, Shiva Shadani, Soheila Shahmohammadi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2015-07-01
Series:Journal of Pediatrics Review
Online Access:http://dx.doi.org/10.17795/jpr-2653
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author Daniel Zamanfar
Elika Shokri
Shiva Shadani
Soheila Shahmohammadi
author_facet Daniel Zamanfar
Elika Shokri
Shiva Shadani
Soheila Shahmohammadi
author_sort Daniel Zamanfar
collection DOAJ
description Introduction: Allgrove’s syndrome (AS) is a rare cause of adrenal insufficiency inherited in an autosomal recessive pattern. Usually the disease is manifested during the first decade of life with severe hypoglycaemia, which can lead to sudden death. Case Presentation: Here we described two cases of Allgrove’s syndrome; the first case was an 8-year-old male admitted to hospital for evaluation of seizure and gait abnormality and the second case was a 4-year-old boy admitted for evaluation of hyperpigmentation of his skin and buccal mucosa for eight months, also we made a review of literature. Conclusions: Alacrima is considered to be the earliest clinical manifestation of Triple A syndrome and early recognition of glucocorticoid deficiency would prevent hypoglycaemic convulsions, neurological sequelae and death. A carful replacement of glucocorticoids is critical to avoid adrenal crisis and allow normal growth and development.
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spelling doaj.art-22f8916eaa8c46338418e969950e9ceb2022-12-22T01:56:02ZengMazandaran University of Medical SciencesJournal of Pediatrics Review2322-44012322-43982015-07-013210.17795/jpr-2653Allgrove’s Syndrome: Two Case Reports and Review of LiteratureDaniel Zamanfar0Elika Shokri1Shiva Shadani2Soheila Shahmohammadi3Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, IR IranFaculty of Medicine, Mazandaran University of Medical Sciences, Sari, IR IranFaculty of Medicine, Mazandaran University of Medical Sciences, Sari, IR IranMazandaran Pediatric Infectious diseases Research Center (MPIDRC), Mazandaran University of Medical Sciences, Sari, IR IranIntroduction: Allgrove’s syndrome (AS) is a rare cause of adrenal insufficiency inherited in an autosomal recessive pattern. Usually the disease is manifested during the first decade of life with severe hypoglycaemia, which can lead to sudden death. Case Presentation: Here we described two cases of Allgrove’s syndrome; the first case was an 8-year-old male admitted to hospital for evaluation of seizure and gait abnormality and the second case was a 4-year-old boy admitted for evaluation of hyperpigmentation of his skin and buccal mucosa for eight months, also we made a review of literature. Conclusions: Alacrima is considered to be the earliest clinical manifestation of Triple A syndrome and early recognition of glucocorticoid deficiency would prevent hypoglycaemic convulsions, neurological sequelae and death. A carful replacement of glucocorticoids is critical to avoid adrenal crisis and allow normal growth and development.http://dx.doi.org/10.17795/jpr-2653
spellingShingle Daniel Zamanfar
Elika Shokri
Shiva Shadani
Soheila Shahmohammadi
Allgrove’s Syndrome: Two Case Reports and Review of Literature
Journal of Pediatrics Review
title Allgrove’s Syndrome: Two Case Reports and Review of Literature
title_full Allgrove’s Syndrome: Two Case Reports and Review of Literature
title_fullStr Allgrove’s Syndrome: Two Case Reports and Review of Literature
title_full_unstemmed Allgrove’s Syndrome: Two Case Reports and Review of Literature
title_short Allgrove’s Syndrome: Two Case Reports and Review of Literature
title_sort allgrove s syndrome two case reports and review of literature
url http://dx.doi.org/10.17795/jpr-2653
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AT shivashadani allgrovessyndrometwocasereportsandreviewofliterature
AT soheilashahmohammadi allgrovessyndrometwocasereportsandreviewofliterature