Is ALD curable?

Adrenoleukodystrophy has no cure. However, stem cell transplantation may stop the progression of ALD if done when neurological symptoms first appear. Doctors will focus on relieving your symptoms and slowing disease progression.

Does ALD run in families?

Adrenoleukodystrophy is a genetic, or inherited, disorder. If a mother is a carrier of ALD, there is a 50% chance of passing this on to her children.

What does ALD do to the body?

ALD prevents the body from breaking down very long chain fatty acids (VLCFAs), causing these fatty acid chains to build up in the brain, nervous system and adrenal gland. The accumulation is thought to cause inflammation in the body, damaging the myelin sheath.

How long do ALD patients live?

Prognosis for these patients is poor, with death occurring within five to 10 years of diagnosis if left untreated. However, early diagnosis and stem cell therapy can help slow down disease progression.

Could there ever be a girl with ALD?

Women with ALD can experience symptoms similar to men with AMN later in life. Symptoms vary in women, but many times include bowel and bladder dysfunction, pain in the extremities, and walking difficulties. Cerebral disease and adrenal insufficiency are rare in women with ALD, so symptom management is key.

Can a girl get ALD?

How long can you live with ALD?

Without treatment, patients fall into a vegetative state in which they may be awake but not responsive or aware of their surroundings one to two years after the development of neurological symptoms. They may remain alive in this state for up to 10 years before succumbing to the disease.

What is the most common treatment for ALD?

The only effective treatment option for cerebral ALD is a stem cell transplant, a procedure in which the patient receives blood stem cells from a genetically matched donor. The purpose is to provide healthy stem cells that produce the protein lacking in boys with ALD.

Can children survive ALD?

The onset of childhood cerebral ALD is usually between ages four and ten years. The prognosis is generally poor, particularly if the disease is not correctly diagnosed before significant symptoms develop. Many of these children die within one and ten years of the onset of symptoms.

Why do boys only get ALD?

Males have one X chromosome, so only need to inherit one damaged gene from a parent to be affected. Females have two X chromosomes so are less likely to have ALD. If they do, it’s often less severe.