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Skin Hyperpigmentation: From Endocrine Dysfunction to Peroxisomal Disease
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Volume
14
, Issue
3
July-September 2017
Pages: 68-70
DOI:
https://doi.org/10.7199/ped.oncall.2017.24
CITE THIS ARTICLE
Ferreira H, Ferreira C, Correia F, Lobo A, Magalhaes C, Meireles C. Skin Hyperpigmentation: From Endocrine Dysfunction to Peroxisomal Disease. Pediatr Oncall J. 2017;14: 68-70. doi: 10.7199/ped.oncall.2017.24
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CASE REPORTS
Skin Hyperpigmentation: From Endocrine Dysfunction to Peroxisomal Disease
Helena Ferreira, Carla Ferreira, Filipa Correia, Ana Lobo, Catarina Magalhaes, Carla Meireles.
Department of Pediatrics, Hospital da Senhora da Oliveira, Guimarães, Portugal.
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Abstract
Primary adrenal insufficiency, a rare disease in pediatric population, has different etiologies that determine treatment and prognosis. Clinical manifestations can be insidious and subtle, delaying the diagnosis. Hyperpigmentation is a characteristic sign of primary adrenal insufficiency and it can be the only manifestation. X-linked adrenoleukodystrophy is a peroxisomal disorder characterized by very long chain fatty acids accumulation in different organs, namely adrenal gland, leading to adrenal insufficiency. The authors report a 10 years-old boy who presented with behavioral changes, hyperactivity, poor school performance and hyperpigmentation. He was diagnosed to have primary adrenal insufficiency secondary to X-linked adrenoleukodystrophy. His diagnosis was delayed because of the initial vague symptoms. With this case the authors aim to increase the awareness to different clinical manifestations of primary adrenal insufficiency as well as create awareness that X-linked adrenoleukodystrophy is an important etiology of adrenal insufficiency in boys.
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Disease A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all topics
Featured Articles
Urticaria (hives) and angioedema
Anaphylaxis
Circumcision
Skin allergies
Hypospadias
Anal fissure
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Eqipments
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