<prompt> Which is not seen in Allgrove syndrome -ACTH excess leading to Cushing syndromeAchalasiaAlacrimiaHvperpigmetation  <response>: Ans. is a i.e., ACTH excess leading to Cushing syndrome Allgroves syndrome characterized byo ACTH resistant adrenal glucocorticoid deficiency 80.o Achalasia of the cardia 85.o Alacrimia 90..o Autosomal recessive disorder,o Caused due to mutation in AAAs geneo Neurological features appear at later age and autonomic manifestations are the most common neurological disorder. Polyneuropathies, Amyotrophy and optic atrophy are other disorders.o Alacrimia is the earliest and most consistent symptom and the achalasia and adrenal insufficiency develop over the first two decades. 