All stems are incorrect. The diagnosis of adrenoleukodystophy (ALD) was suggested by a history of childhood Addison’s disease affecting a cousin and then confirmed by very long chain fatty acid measurements and postmortem examination. With advancing age, the adreno-myelo-neuropathy phenotype, rather than a leukodystrophy, becomes more likely. This X-linked recessive disorder affects one in 20,000 males and the responsible gene is located on the long arm of the …