The doctor will order certain tests and investigations to confirm the diagnosis. The tests that are usually conducted are:
• Blood levels
• MRI scan of the head
• Chromosome study to assess mutations in the corresponding gene
Treatment of Adrenoleukodystrophy
• There is no specific treatment plan for adrenoleukodystrophy, nonetheless, ensure that you consume a diet that has reduced amounts of very long chain fatty acids and also consume special oils that will help diminish the levels of very long chain fatty acids in the blood. These special oils are known as Lorenzo's oil; however, they are not a cure for the condition; and in fact, may not be of use to all patients of ALD.
• Adrenal dysfunction is effectively managed by administering steroids like, cortisol.
• Bone marrow transplantation is being assessed as a tentative treatment.
Prognosis of Adrenoleukodystrophy
Prognosis for ALD is somewhat poor. The childhood subtype of ALD is a progressive condition that eventually ends in coma, 2 years after the neurological symptoms become apparent. The child may survive up to ten years, till death occurs.
Other types of ALD are relatively milder. However, certain complications are seen in those cases as well which affect the outcome of the case: adrenal crisis and vegetative, coma state.