case report When Dysphagia Leads to Diagnosis: A Case of Triple A Syndrome in a Malnourished Child

ALLGROVE SYNDROME

Authors

  • Sadia Qasim Qasim Children's hospital lahore
  • Madeeha Aimen Mukhtar A Hospital multan
  • Tahira Aslam The university of child health sciences and children's hospital lahore
  • S maria javed Al-Aleem Medical College Lahore
  • Afsheen Batool Raza The university of child health sciences and children's hospital lahore

DOI:

https://doi.org/10.66347/ppj.v50i2&3.690

Abstract

Allgrove Syndrome, also called Triple A syndrome (TAS), is an uncommon autosomal recessive condition. We described the case of a 12-year-old girl who developed progressively worsening dysphagia over six years, beginning with difficulty of swallowing solid foods and later progressing to liquids. Over time, she experienced significant muscle wasting and became severely malnourished. Upon hospital admission, she was also found to have adrenal insufficiency and had a history of alacrimia since early infancy. This case highlights the diagnostic challenges and delays commonly associated with TAS.

Author Biographies

Madeeha Aimen, Mukhtar A Hospital multan

consulant pediatrician 

 

Tahira Aslam, The university of child health sciences and children's hospital lahore

senior registrar pediatrics

S maria javed, Al-Aleem Medical College Lahore

final year MBBS student

internship @ children's hospital lahore

Afsheen Batool Raza, The university of child health sciences and children's hospital lahore

Associate professor in UCHS 

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Published

2026-11-09

Issue

Vol. 50 No. 2&3 (2026)

Section

Case Report