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Living with Adrenoleukodystrophy

An inherited condition that mainly affects the nervous system and the adrenal glands, causing loss of the nerve covering (myelin).

Understanding Adrenoleukodystrophy

Adrenoleukodystrophy (X-linked adrenoleukodystrophy) is a genetic disorder that mainly affects the nervous system and the adrenal glands.

The fatty covering that insulates nerves in the brain and spinal cord (myelin) breaks down. Damage to the outer layer of the adrenal glands also causes a shortage of certain hormones. GARD describes four types: a childhood cerebral form, adrenomyeloneuropathy, an adrenal insufficiency only form, and an asymptomatic form. The childhood cerebral form typically occurs in boys.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Trouble walking (gait problems)
  • Adrenal gland problems (adrenal insufficiency)
  • Learning and behavior changes
  • Clumsiness and poor coordination
  • Vision problems
  • Headache

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists, hormone specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in ABCD1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    ALD Alliance, Global DARE Foundation and National Adrenal Diseases Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: ALD Alliance, Global DARE Foundation, National Adrenal Diseases Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with ALD Alliance and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is genetic testing for ABCD1 available for our family?
Which of the four types does my child or I have?
How often should adrenal function and brain MRIs be checked?

Quick facts

Symptoms usually starta variety of ages
InheritanceX-Linked
GenesABCD1

Changes in the ABCD1 gene cause this condition, and it is inherited in an X-linked way.

GeneticNeurologicalEndocrineInherited Metabolic

Also known as: abcd1 deficiency; addison disease and cerebral sclerosis; adrenoleukodystrophy, x-linked; adrenoleukodystrophy, x-linked recessive; adrenomyeloneuropathy, adult; adrenomyeloneuropathy, adult, x-linked recessive

Patient organizations

Source: NIH GARD · AdrenoleukodystrophyGARD ID 5758 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Adrenoleukodystrophy.

Explore the Adrenoleukodystrophy blog

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Explore actively recruiting Adrenoleukodystrophy studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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