X-linked adrenoleukodystrophy may present with a deceptively mild phenotype, even in adult males. Tight collaboration between clinicians, geneticists, biochemists, and other specialists is increasingly required for clarification of diagnosis in cases with atypical presentation.
Keywords: Adrenomyeloneuropathy; Parkinson's disease; X‐linked adrenoleukodystrophy; leukodystrophy; myelopathy; phenotype.