Q:

The MOST common initial manifestation of X-linked adrenoleukodystrophy (ALD)is

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The MOST common initial manifestation of X-linked adrenoleukodystrophy (ALD) is 


  1. seizure
  2. hyperactivity
  3. visual disturbance
  4. increased intracranial pressure
  5. impaired auditory discrimination

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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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