Xerostomia – An Unknown Oral Manifestation in AAA Syndrome


  • Deepali Agrawal
  • Ravikiran Ongole




AAA Syndrome, Allgrove’s syndrome, Dental, Oral Manifestation, Xerostomia,


Background: The triple A syndrome (AAAS), also termed Allgrove syndrome (AS), is a very rare chromosome
recessive disorder that was 1st identified in 1978 by Jeremy Allgrove and colleagues in 2 unrelated siblings.
In most cases, there is no associated family history. The syndrome comprises of Achalasia, Addisonianism
and Alacrimia. It has an estimated prevalence of 1 per 1,000,000 individuals. About 200 cases have been
reported worldwide as of date, showing a great variability in severity as well as in clinical manifestations.
Consistent oral findings could be noticed such as high arched palate, oral pigmentation, fissured or atrophic
tongue, and xerostomia
Case report: We report the case of a 25-year-old girl who presented with Triple A Syndrome with all
characteristic clinical features.
Conclusion: The aim of this case report is to highlight the dental involvement in Allgrove syndrome. In
addition, we aim to emphasize the need for the oral physician to accurately diagnose the condition, manage
the oral manifestations, and to collaborate with other dental specialists to provide optimum dental care to
these patients.

Author Biographies

Deepali Agrawal

Post Graduate Resident

Ravikiran Ongole

Professor and Head, Department of Oral Medicine and Radiology, Manipal College of
Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India



How to Cite

Deepali Agrawal, & Ravikiran Ongole. (2021). Xerostomia – An Unknown Oral Manifestation in AAA Syndrome. Indian Journal of Forensic Medicine & Toxicology, 15(2), 103-107. https://doi.org/10.37506/ijfmt.v15i2.14282