neonatal adrenoleukodystrophy neonatal adrenoleukodystrophy neonatal adrenoleukodystrophy is an inborn error of peroxisome biogenesis. it is part of the zellweger spectrum. it has been linked with multiple genes (at least five) associated with peroxisome biogenesis, and has an autosomal recessive pattern of inheritance. for the x-linked, juvenile or adult-onset condition, see adrenoleukodystrophy. neonatal adrenoleukodystrophyother namesnald