Raras
Buscar doenças, sintomas, genes...
Síndrome triplo A
ORPHA:869CID-10 · E27.4CID-11 · 5A74.YOMIM 231550DOENÇA RARA

A síndrome Triplo A é uma doença multissistêmica muito rara, caracterizada por insuficiência adrenal com deficiência isolada de glicocorticóides, acalasia, alacrima, disfunção autonômica e neurodegeneração.

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Introdução

O que você precisa saber de cara

📋

A síndrome Triplo A é uma doença multissistêmica muito rara, caracterizada por insuficiência adrenal com deficiência isolada de glicocorticóides, acalasia, alacrima, disfunção autonômica e neurodegeneração.

Publicações científicas
245 artigos
Último publicado: 2026 Jan 16

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
100
pacientes catalogados
Início
All ages
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: E27.4
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Entender a doença

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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
9 sintomas
👁️
Olhos
5 sintomas
📏
Crescimento
4 sintomas
🧬
Pele e cabelo
4 sintomas
🫁
Pulmão
2 sintomas
🫘
Rins
2 sintomas

+ 20 sintomas em outras categorias

Características mais comuns

100%prev.
Acalasia
Muito frequente (99-80%)
100%prev.
Alacrimia
Muito frequente (99-80%)
90%prev.
Hiperpigmentação generalizada
Muito frequente (99-80%)
88%prev.
Insuficiência adrenal
Muito frequente (99-80%)
57%prev.
Início juvenil
Frequência: 8/14
55%prev.
Ceratodermia palmoplantar
Frequente (79-30%)
51sintomas
Muito frequente (4)
Frequente (15)
Ocasional (19)
Muito raro (1)
Sem dados (12)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 51 características clínicas mais associadas, ordenadas por frequência.

AcalasiaAchalasia
Muito frequente (99-80%)100%
AlacrimiaAlacrima
Muito frequente (99-80%)100%
Hiperpigmentação generalizadaGeneralized hyperpigmentation
Muito frequente (99-80%)90%
Insuficiência adrenalAdrenal insufficiency
Muito frequente (99-80%)88%
Início juvenilJuvenile onset
Frequência: 8/1457%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico245PubMed
Últimos 10 anos102publicações
Pico202115 papers
Linha do tempo
2026Hoje · 2026🧪 1998Primeiro ensaio clínico📈 2021Ano de pico
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

3 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.

AAASAladinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Plays a role in the normal development of the peripheral and central nervous system (PubMed:11062474, PubMed:11159947, PubMed:16022285). Required for the correct localization of aurora kinase AURKA and the microtubule minus end-binding protein NUMA1 as well as a subset of AURKA targets which ensures proper spindle formation and timely chromosome alignment (PubMed:26246606)

LOCALIZAÇÃO

Nucleus, nuclear pore complexCytoplasm, cytoskeleton, spindle poleNucleus envelope

VIAS BIOLÓGICAS (10)
snRNP AssemblyHCMV Early EventsHCMV Late EventsNEP/NS2 Interacts with the Cellular Export MachineryTransport of Ribonucleoproteins into the Host Nucleus
MECANISMO DE DOENÇA

Achalasia-addisonianism-alacrima syndrome

An autosomal recessive disorder characterized by adreno-corticotropic hormone (ACTH)-resistant adrenal failure, achalasia of the esophageal cardia and alacrima. The syndrome is associated with variable and progressive neurological impairment involving the central, peripheral, and autonomic nervous system. Other features such as palmoplantar hyperkeratosis, short stature, facial dysmorphy and osteoporosis may also be present.

OUTRAS DOENÇAS (1)
triple-A syndrome
HGNC:13666UniProt:Q9NRG9
TRAPPC11Trafficking protein particle complex subunit 11Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Involved in endoplasmic reticulum to Golgi apparatus trafficking at a very early stage

LOCALIZAÇÃO

Golgi apparatusGolgi apparatus, cis-Golgi network

VIAS BIOLÓGICAS (1)
RAB GEFs exchange GTP for GDP on RABs
MECANISMO DE DOENÇA

Muscular dystrophy, limb-girdle, autosomal recessive 18

A form of limb-girdle muscular dystrophy characterized by proximal muscle weakness with childhood onset, resulting in gait abnormalities and scapular winging. Serum creatine kinase is increased. A subset of patients may show a hyperkinetic movement disorder with chorea, ataxia, or dystonia and global developmental delay.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
33.7 TPM
Cérebro - Hemisfério cerebelar
31.5 TPM
Linfócitos
30.9 TPM
Nervo tibial
29.6 TPM
Cerebelo
29.4 TPM
OUTRAS DOENÇAS (3)
autosomal recessive limb-girdle muscular dystrophy type R18intellectual disability-hyperkinetic movement-truncal ataxia syndrometriple-A syndrome
HGNC:25751UniProt:Q7Z392
GMPPAMannose-1-phosphate guanylyltransferase regulatory subunit alphaDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Regulatory subunit of the GMPPA-GMPPB mannose-1-phosphate guanylyltransferase complex; reduces the catalytic activity of GMPPB when part of the complex (PubMed:24035193, PubMed:33986552). Mediates allosteric feedback inhibition of GMPPB catalytic activity upon binding GDP-alpha-D-mannose (PubMed:24035193, PubMed:33986552). Together with GMPPB regulates GDP-alpha-D-mannose levels (PubMed:33986552)

LOCALIZAÇÃO

Cytoplasm

VIAS BIOLÓGICAS (1)
Synthesis of GDP-mannose
MECANISMO DE DOENÇA

Alacrima, achalasia, and impaired intellectual development syndrome

An autosomal recessive disorder characterized by onset of alacrima, achalasia, and intellectual disability at birth or in early infancy. More variable features include hypotonia, gait abnormalities, anisocoria, and visual or hearing deficits. The disorder shows similarity to the triple A syndrome, but patients with AAMR do not have adrenal insufficiency.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Pituitária
78.8 TPM
Cervix Endocervix
63.0 TPM
Próstata
58.5 TPM
Fibroblastos
56.4 TPM
Cervix Ectocervix
56.0 TPM
OUTRAS DOENÇAS (2)
alacrima, achalasia, and intellectual disability syndrometriple-A syndrome
HGNC:22923UniProt:Q96IJ6

Variantes genéticas (ClinVar)

423 variantes patogênicas registradas no ClinVar.

🧬 GMPPA: NM_013335.4(GMPPA):c.199C>T (p.Gln67Ter) ()
🧬 GMPPA: GRCh37/hg19 2q33.3-37.3(chr2:206965837-242783384)x3 ()
🧬 GMPPA: NM_013335.4(GMPPA):c.242+26G>T ()
🧬 GMPPA: NM_013335.4(GMPPA):c.243-1G>C ()
🧬 GMPPA: NM_013335.4(GMPPA):c.578del (p.Pro193fs) ()
Ver todas no ClinVar

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome triplo A

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

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Publicações mais relevantes

Timeline de publicações
103 papers (10 anos)
#1

Allgrove syndrome with early neurodegeneration in a child: A case report from Syria.

Medicine2026 Jan 16

Allgrove syndrome (AS), or "Triple A" syndrome, is a rare autosomal recessive disorder first described in 1978. It affects approximately 1 in a million individuals and is caused by mutations in the AAAS gene on chromosome 12q13. This gene encodes the ALADIN protein, essential for cellular function in various tissues. The syndrome is defined by a triad of clinical features: alacrima (absence of tears), achalasia (esophageal dysfunction), and adrenocorticotropic hormone-resistant adrenal insufficiency. Neurological involvement, including autonomic and peripheral neuropathies, is more commonly observed later in life, making early diagnosis challenging. A 4-year-old girl presented with vomiting, dysphagia, generalized weakness, alacrima, and skin hyperpigmentation. Addison disease was confirmed by elevated adrenocorticotropic hormone levels, and achalasia was diagnosed via a barium swallow test showing a bird's beak sign. Although treatment was initiated, surgery was initially delayed due to the patient's condition. Later, she developed seizures and neurological deterioration. Magnetic resonance imaging revealed cerebral atrophy, confirming the diagnosis of AS with neurological involvement. Treatment included medications targeting adrenal insufficiency and symptom management; however, there was no significant improvement in neurological symptoms or oral intake. Surgical intervention with Heller myotomy and gastrostomy led to improved feeding. AS can lead to serious complications, including life-threatening adrenal crises if undiagnosed. Early identification of glucocorticoid deficiency is vital to prevent mortality and long-term morbidity. Timely recognition and a multidisciplinary approach are essential. Regular follow-ups are necessary to manage neurological progression and support normal development in affected children.

#2

Neurological manifestations of Allgrove syndrome in patients carrying a potentially founder p.Ser263Pro variant in the AAAS gene.

Neurogenetics2026 Jan 07

Allgrove syndrome (AS) is a rare, multisystem, autosomal recessive disorder characterized by the triad of symptoms: achalasia, alacrimia and ACTH-resistant adrenal insufficiency. Various and nonspecific neurological symptoms can also develop over time, "blurring" the typical course of this underdiagnosed condition. The incidence of Allgrove syndrome is unknown. Orphanet database reports fewer than 100 published cases, but according to the literature review, at least 206 patients have already been described. The pathogenic variant p.Ser263Pro is one of the most recurrent aberrations affecting the AAAS gene and has been reported in several families of Slavic origin. We investigated genotype-phenotype correlation in 206 patients with AS described in literature (including two novel Polish siblings carrying a homozygous p.Ser263Pro variant in the AAAS gene) and found that neurological symptoms were significantly more common among carriers of p.Ser263Pro variant (33 out of 34, 97.1%) as compared to other AAAS variant carriers (133 out of 172, 77.3%, p = 0.006). While the incidence of the classical clinical triad of AS was similar and observed in 110 out of 206 AS patients (53.4%) and in 18 out of 34 (52.9%) among p.Ser263Pro variant carriers. Furthermore, our report supports the hypothesis of a founder origin of the p.Ser263Pro variant in AAAS gene in a European Caucasian population. Slavic origin was found in 25 out of 36 reported variant carriers (69.4%) and 17 out of 23 (73.9%) who were homozygous for p.Ser263Pro variant. Summarizing, neurological manifestations of AS predominate in patients carrying a potentially founder p.Ser263Pro variant within the AAAS gene.

#3

A Novel AAAS Gene Mutation in Allgrove Syndrome: Case Report and Genetic Insights from a Chinese Xinjiang Girl.

Annals of clinical and laboratory science2025 Jul

Allgrove Syndrome (AS), also known as Triple A syndrome (AAAS) is a rare autosomal recessive disorder characterized by a triad of alacrima, achalasia of the cardia, and ACTH-resistant adrenocortical insufficiency. The study aimed to broaden the understanding of AS's pathogenesis and clinical presentations within the Chinese population by identifying a novel mutation in the AAAS gene through genetic analysis. A four-year-old girl presented with short stature and recurrent vomiting for over two years. She had never been able to produce tears. Her physical examination showed short stature, undernourishment, dark pigmented dry skin, and reduced subcutaneous fat. The absence of lacrimal gland function was confirmed, and a barium meal test indicated a diagnosis of cardia achalasia. The patient was diagnosed with AS after genetic testing revealed a homozygous mutation, c.904_905delinsG, in exon 9 of the AAAS gene. Both parents were identified as carriers of the mutation, each presenting as heterozygous. Symptomatic supportive care was provided, including anti-inflammatory, hemostatic, acid-suppressive, antispasmodic, and rehydration therapies. A laparoscopic Heller myotomy was performed, which involved incising the muscular layer of the cardia and a gastric fundoplication. Postoperatively, the patient showed smooth feeding, upper gastrointestinal contrast barium passed without obstruction. The patient showed significant improvement and was discharged. The proband's sister was diagnosed with adrenal insufficiency based on hormonal levels and imaging. Genetic testing is instrumental in diagnosing AS, and prompt diagnosis can significantly enhance the quality of life for affected children. The study documented a novel mutation in AS, extending the diversity of known genetic variants. For patients with esophageal achalasia, the choice between balloon dilation and laparoscopic Heller's surgery should be individualized. Early identification and management of AS can significantly benefit affected children.

#4

Allgrove Syndrome in Adults: A Case of an Atypical Presentation.

Cureus2025 Dec

Allgrove syndrome, or "Triple A" syndrome, is a rare autosomal recessive disorder characterized by achalasia, alacrima, and adrenal insufficiency. Typically diagnosed in childhood or adolescence, its adult presentation remains under-recognized and challenging. We report the case of a 29-year-old Moroccan woman with chronic dysphagia, who was ultimately diagnosed with Allgrove syndrome following the discovery of type 1 achalasia, primary adrenal insufficiency, and alacrima. The diagnosis was delayed, and symptoms had persisted for over a decade before appropriate evaluation. Clinical, endoscopic, radiologic, and manometric findings confirmed the diagnosis. Therapeutic management included corticosteroids and pneumatic dilation, with a favorable outcome. This case highlights the importance of considering Allgrove syndrome in adults with unexplained dysphagia and systemic symptoms.

#5

Endoscopic Controlled Radial Expansion Balloon Dilatation in Infantile Achalasia: A Case Series of Four Infants.

Cureus2025 Nov

Achalasia cardia is an uncommon esophageal motility disorder that is often misdiagnosed as gastroesophageal reflux disease (GERD). Although rare in infancy, it presents unique diagnostic and therapeutic challenges compared to adults. We describe four infants who presented with early-onset vomiting and feeding difficulties and were diagnosed with achalasia cardia based on characteristic findings on timed barium esophagogram (TBE). None of our patients had features of Allgrove (Triple-A) syndrome, which is characterized by achalasia, alacrimia, and adrenal insufficiency. Serial controlled radial expansion (CRE) balloon dilatation was performed under direct endoscopic vision to relieve lower esophageal sphincter (LES) obstruction. The procedure was uneventful, and three (75%) infants showed marked clinical improvement, remaining symptom-free at a median follow-up of 4.5 months. Congenital esophageal stenosis, an important differential diagnosis in this age group, was carefully excluded based on characteristic endoscopic and radiologic findings. Infantile achalasia is diagnostically challenging because of symptom overlap with GERD and difficulty in performing manometry, limited cooperation for functional studies, and the requirement for specialized pediatric endoscopic equipment due to the small caliber of the esophagus. Timed barium esophagogram remains the most useful diagnostic tool, while CRE balloon dilatation provides a safe and minimally invasive alternative to surgery. Endoscopic CRE balloon dilatation appears to be an effective treatment option for infantile achalasia, with sustained symptom remission and nutritional recovery highlighting its feasibility and clinical value.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC232 artigos no totalmostrando 101

2026

Allgrove syndrome with early neurodegeneration in a child: A case report from Syria.

Medicine
2025

Allgrove Syndrome in Adults: A Case of an Atypical Presentation.

Cureus
2026

Neurological manifestations of Allgrove syndrome in patients carrying a potentially founder p.Ser263Pro variant in the AAAS gene.

Neurogenetics
2025

Endoscopic Controlled Radial Expansion Balloon Dilatation in Infantile Achalasia: A Case Series of Four Infants.

Cureus
2025

Gonadal Function and Reproductive Health Challenges in Triple a Syndrome: A Narrative Review.

Medicina (Kaunas, Lithuania)
2025

Peroral endoscopic myotomy in pediatric achalasia ‒ A two-center retrospective cohort study with early feeding and early discharge.

Revista espanola de enfermedades digestivas
2025

Peroral endoscopic myotomy in pediatric triple A syndrome: report of three cases.

Revista espanola de enfermedades digestivas
2025

A Novel AAAS Gene Mutation in Allgrove Syndrome: Case Report and Genetic Insights from a Chinese Xinjiang Girl.

Annals of clinical and laboratory science
2025

Insights into genetic and clinical profiles of triple A syndrome in Sudanese children.

Frontiers in endocrinology
2025

Corneal parameters in pediatric triple a syndrome patients with alacrima.

Ophthalmic genetics
2025

A triple A syndrome with neurological findings; c464G>A mutation in the AAAS gene.

Ideggyogyaszati szemle
2025

Triple A Syndrome-A Rare Hereditary Cause of Achalasia.

ACG case reports journal
2025

Novel recurrent mutations and genetic diversity in Sudanese children with adrenal insufficiency.

European journal of endocrinology
2024

Two siblings with triple A syndrome.

BMJ case reports
2024

Very early and severe presentation of Triple A syndrome - case report and review of the literature.

Frontiers in endocrinology
2024

Biallelic NDC1 variants that interfere with ALADIN binding are associated with neuropathy and triple A-like syndrome.

HGG advances
2024

Triple-A Syndrome in Morocco: Founder Effect, Age Estimation of the AAAS c.1331+1G>A Variant, and Implications for Genetic Diagnosis.

Molecular syndromology
2024

Fertility and sexual activity in patients with Triple A syndrome.

Frontiers in endocrinology
2024

A 16-year-old boy presented with triple-A syndrome associated with neuromuscular disorders: a case report.

Annals of medicine and surgery (2012)
2023

Generation of glucocorticoid-producing cells derived from human pluripotent stem cells.

Cell reports methods
2023

Triple A syndrome: An unusual association with plurihormonal pituitary neuroendocrine tumour.

Clinical neurology and neurosurgery
2023

The role of WD40 repeat-containing proteins in endocrine (dys)function.

Journal of molecular endocrinology
2023

Alacrimia in a case of suspected achalasia: A phenotypic variation of triple A syndrome?

Indian journal of ophthalmology
2023

The evaluation of thiol-disulfide homeostasis in children with Triple-A syndrome.

European review for medical and pharmacological sciences
2023

Rare forms of genetic paediatric adrenal insufficiency: Excluding congenital adrenal hyperplasia.

Reviews in endocrine &amp; metabolic disorders
2022

Allgrove syndrome: a case report.

Oxford medical case reports
2023

The clinical and laboratory features of patients with triple A syndrome: a single-center experience in Turkey.

Endocrine
2022

A rare case of Allgrove Syndrome associated with growth hormone deficiency in an 8-year-Old child: A case report.

Annals of medicine and surgery (2012)
2022

[A case of triple A syndrome with c.463C>T mutation in the AAAS gene].

Rinsho shinkeigaku = Clinical neurology
2022

Triple A syndrome-related achalasia treated by per-oral endoscopic myotomy: Three case reports.

World journal of clinical cases
2022

Recurrent pulmonary infection leads to the diagnosis of triple A syndrome: a case report.

Journal of medical case reports
2022

A rare cause of infantile achalasia: GMPPA-congenital disorder of glycosylation with two novel compound heterozygous variants.

American journal of medical genetics. Part A
2022

AAMR syndrome in a 22-month-old and literature review.

Ophthalmic genetics
2022

Functional validation of a novel AAAS variant in an atypical presentation of Allgrove syndrome.

Molecular genetics &amp; genomic medicine
2022

Unusual clinical presentation and new mutation in a case of triple A syndrome.

Endocrinologia, diabetes y nutricion
2021

A Novel Variant in Triple A Syndrome.

Acta endocrinologica (Bucharest, Romania : 2005)
2021

Mineralocorticoid Deficiency as an Early Presenting Symptom of Allgrove Syndrome With Novel Mutation: A Case Report.

Cureus
2021

The Retina in Patients With Triple A Syndrome: A Window Into Neurodegeneration?

Frontiers in endocrinology
2021

Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication.

Case reports in otolaryngology
2021

Allgrove syndrome: Case report of 18 years old male:the first case report from Syria.

Annals of medicine and surgery (2012)
2021

Neurophysiological Characteristics of Allgrove (Triple A) Syndrome: Case Report and Literature Review.

Child neurology open
2021

Triple A Multisystem Disorder: Allgrove Syndrome.

Cureus
2021

Mutation of the nuclear pore complex component, aladin1, disrupts asymmetric cell division in Zea mays (maize).

G3 (Bethesda, Md.)
2021

Genetic aetiology of primary adrenal insufficiency in Chinese children.

BMC medical genomics
2021

Protein signature of human skin fibroblasts allows the study of the molecular etiology of rare neurological diseases.

Orphanet journal of rare diseases
2021

Spectral Domain - Optical Coherence Tomography findings in Triple-A Syndrome - A case series from Pakistan.

Pakistan journal of medical sciences
2020

Spectrum of Addison's Disease in Children.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
2021

Triple A syndrome: a case report.

Tropical doctor
2021

Pediatric Primary Adrenal Insufficiency: A 21-year Single Center Experience.

Journal of clinical research in pediatric endocrinology
2021

Triple-A Syndrome: A rare cause of pediatric achalasia.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
2020

Triple A syndrome (Allgrove syndrome) - A journey from clinical symptoms to a syndrome.

Journal of family medicine and primary care
2021

Triple A (Allgrove) syndrome due to AAAS gene mutation with a rare association of amyotrophy.

Hormones (Athens, Greece)
2022

The use of topical cyclosporine A 0.05% as treatment for primary alacrimia in Allgrove syndrome.

European journal of ophthalmology
2020

4th A in a triple A syndrome - A rare case report.

Journal of basic and clinical physiology and pharmacology
2020

Triple-A Syndrome (TAS): An In-Depth Overview on Genetic and Phenotype Heterogeneity.

Protein and peptide letters
2020

Peroral endoscopic myotomy in a child with Triple A syndrome (Allgrove syndrome).

VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy
2020

Case report of a familial triple: a syndrome and review of the literature.

Medicine
2019

CLINICAL COURSE OF A UNIQUE CASE OF ALLGROVE SYNDROME AND CHALLENGES OF HYPOGLYCEMIA MANAGEMENT.

AACE clinical case reports
2020

Two novel truncating variants of the AAAS gene causative of the triple A syndrome.

Journal of endocrinological investigation
2020

Evidence of GMPPA founder mutation in indigenous Guatemalan population associated with alacrima, achalasia, and mental retardation syndrome.

American journal of medical genetics. Part A
2019

Triple A syndrome (Allgrove syndrome): improving outcomes with a multidisciplinary approach.

Pediatric health, medicine and therapeutics
2020

A broad range of symptoms in allgrove syndrome: single center experience in Southeast Anatolia.

Journal of endocrinological investigation
2019

A Child with Weight Loss and Alacrimation: Triple A Syndrome.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
2019

Etiology of primary adrenal insufficiency in children: a 29-year single-center experience.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2019

Homozygous deletion of the entire AAAS gene in a triple A syndrome patient.

European journal of medical genetics
2019

Isolated glucocorticoid deficiency: Genetic causes and animal models.

The Journal of steroid biochemistry and molecular biology
2018

ACTH Resistance Syndrome: An Experience of Three Cases.

Indian journal of endocrinology and metabolism
2019

Triple A syndrome: two siblings with a novel mutation in the AAAS gene.

Hormones (Athens, Greece)
2019

SGPL1 Deficiency: A Rare Cause of Primary Adrenal Insufficiency.

The Journal of clinical endocrinology and metabolism
2018

Triple A patient cells suffering from mitotic defects fail to localize PGRMC1 to mitotic kinetochore fibers.

Cell division
2018

Triple A syndrome presenting as complicated hereditary spastic paraplegia.

Molecular genetics &amp; genomic medicine
2018

Allgrove syndrome and motor neuron disease.

Neurology international
2018

Clinical heterogeneity and molecular profile of triple A syndrome: a study of seven cases.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2017

AAA Syndrome, Case Report of a Rare Disease.

Pakistan journal of medical sciences
2018

Per-oral endoscopic myotomy for esophageal achalasia in a case of Allgrove syndrome.

Clinical journal of gastroenterology
2018

Compensation for chronic oxidative stress in ALADIN null mice.

Biology open
2018

"Crying without tears" as an early diagnostic sign-post of triple A (Allgrove) syndrome: two case reports.

BMC pediatrics
2018

Clinical and genetic characterisation of a series of patients with triple A syndrome.

European journal of pediatrics
2018

Triple-A syndrome: a wide spectrum of adrenal dysfunction.

European journal of endocrinology
2017

Phenotype-genotype spectrum of AAA syndrome from Western India and systematic review of literature.

Endocrine connections
2017

A novel mutation in GMPPA in siblings with apparent intellectual disability, epilepsy, dysmorphism, and autonomic dysfunction.

American journal of medical genetics. Part A
2017

Triple A Syndrome: Preliminary Response to the Antioxidant N-Acetylcysteine Treatment in a Child.

Hormone research in paediatrics
2017

Muscle Pathology as a Diagnostic Clue to Allgrove Syndrome.

Journal of neuropathology and experimental neurology
2016

Edentulous child with Allgrove syndrome: a rare case report.

Korean journal of pediatrics
2016

Identification of a novel putative interaction partner of the nucleoporin ALADIN.

Biology open
2017

A novel TRAPPC11 mutation in two Turkish families associated with cerebral atrophy, global retardation, scoliosis, achalasia and alacrima.

Journal of medical genetics
2016

Alacrima as a Harbinger of Adrenal Insufficiency in a Child with Allgrove (AAA) Syndrome.

The American journal of case reports
2016

Severe malnutrition causing superior mesenteric artery syndrome in an adolescent with Triple A syndrome.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2016

Triple A to triple S: From diagnosis, to anesthetic management of Allgrove syndrome.

Journal of clinical anesthesia
2017

Achalasia: Outcome in children.

Journal of gastroenterology and hepatology
2016

Three cases of triple A syndrome (Allgrove syndrome) in pediatric surgeons' view.

Acta chirurgica Belgica
2016

Pulmonary Mycobacterium abscessus Infection in a Patient with Triple A Syndrome.

Journal of tropical pediatrics
2015

Novel Mutations in a Patient with Triple A Syndrome.

Indian pediatrics
2014

Transport of glutathione into the nucleus.

Free radical biology &amp; medicine
2015

Allgrove (Triple A) Syndrome: A Case Report from the Kashmir Valley.

Endocrinology and metabolism (Seoul, Korea)
2015

The nucleoporin ALADIN regulates Aurora A localization to ensure robust mitotic spindle formation.

Molecular biology of the cell
2016

Low bone mineral density for age/osteoporosis in triple A syndrome-an overlooked symptom of unexplained etiology.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
2015

[Bronchiectasis revealing triple A syndrome].

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
2015

Organ-specific Neurodegeneration in Triple A syndrome-related Achalasia.

The American journal of medicine
2015

Role of ALADIN in human adrenocortical cells for oxidative stress response and steroidogenesis.

PloS one
2015

Triple A syndrome with a novel indel mutation in the AAAS gene and delayed puberty.

Journal of pediatric endocrinology &amp; metabolism : JPEM
Ver todos os 232 no EuropePMC

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

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Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Síndrome triplo A

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Allgrove syndrome with early neurodegeneration in a child: A case report from Syria.
    Medicine· 2026· PMID 41560097mais citado
  2. Neurological manifestations of Allgrove syndrome in patients carrying a potentially founder p.Ser263Pro variant in the AAAS gene.
    Neurogenetics· 2026· PMID 41498959mais citado
  3. A Novel AAAS Gene Mutation in Allgrove Syndrome: Case Report and Genetic Insights from a Chinese Xinjiang Girl.
    Annals of clinical and laboratory science· 2025· PMID 40962451mais citado
  4. Allgrove Syndrome in Adults: A Case of an Atypical Presentation.
    Cureus· 2025· PMID 41503296mais citado
  5. Endoscopic Controlled Radial Expansion Balloon Dilatation in Infantile Achalasia: A Case Series of Four Infants.
    Cureus· 2025· PMID 41426934mais citado
  6. Gonadal Function and Reproductive Health Challenges in Triple a Syndrome: A Narrative Review.
    Medicina (Kaunas)· 2025· PMID 41303908recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:869(Orphanet)
  2. OMIM OMIM:231550(OMIM)
  3. MONDO:0009279(MONDO)
  4. GARD:457(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q7843329(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome triplo A
Compêndio · Raras BR

Síndrome triplo A

ORPHA:869 · MONDO:0009279
Prevalência
<1 / 1 000 000
Casos
100 casos conhecidos
Herança
Autosomal recessive
CID-10
E27.4 · Outras insuficiências adrenocorticais e as não especificadas
CID-11
Início
All ages
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0271742
EuropePMC
Wikidata
Papers 10a
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