The MOST common initial manifestation of X-linked adrenoleukodystrophy (ALD)is
belongs to book: MCQs in Pediatrics Review of Nelson Textbook of Pediatrics|Zuhair M Almusawi, Hasanein Ghali|20th edition| Chapter number:11| Question number:11.82
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(B). In the childhood cerebral form of ALD, symptoms are first noted most commonly between the agesof 4 and 8 yr. The most common initial manifestations are hyperactivity. which is often mistaken for an attention deficit disorder, and worsening schoolperformance in a child who had previouslybeen a good student
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