Adrenoleukodystrophy (ALD): differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Adrenoleukodystrophy (ALD): differential diagnosis. Sitosterolaemia, Metachromatic leukodystrophy (MLD). Fully referenced neurology checklist.

Clinical differentials

  • Sitosterolaemia
  • Metachromatic leukodystrophy (MLD)
  • Neuronal ceroid lipofuscinosis (NCL)
  • Krabbe’s disease
  • Subacute sclerosing panencephalitis (SSPE)
  • Multiple system atrophy (MSA)

Biochemical differentials of raised VCLFAs

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Radiological differentials

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Differentials of AMN

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Acronyms

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References

  1. van Geel BM, Assies J, Wanders RJ, Barth PG. X linked adrenoleukodystrophy: clinical presentation, diagnosis, and therapy. JNNP 1997; 63:4-14.
  2. Moghadasian MH, Salen G, Frohlich JJ, Scudamore CH. Cerebrotendinous xanthomatosis: a rare disease with diverse manifestations. Arch Neurol 2002; 59:527-529.
  3. Ogaki K, Koga S, Aoki N, Lin W, Suzuki K, Ross OA, Dickson DW. Adult-onset cerebello-brainstem dominant form of X-linked adrenoleukodystrophy presenting as multiple system atrophy: case report and literature review. Neuropathology 2016; 36:64-76.
  4. Moser HW. Adrenoleukodystrophy: phenotype, genetics, pathogenesis and therapy. Brain 1997; 120:1485-1508.
  5. Mukherjee S, Newby E, Harvey JN. Adrenomyeloneuropathy in patients with `Addison's disease': genetic case analysis. J R Soc Med 2006; 99:245-249.
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