Autoimmune Polyglandular Syndrome Type 2 with Alopecia Universalis and Hypoparathyroidism

A 46 years old female, presented with severe fatigue, nypotension ana hyperpigmentation. Her basal serum cortisol level at 8 a.m. was < 1.0 μg/dl which suggested a diagnosis of Addison's disease. An association with latent autoimmune diabetes of adult and autoimmune hypothyroidism led to a d...

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Veröffentlicht in:	Journal of the Association of Physicians of India 2015-04, Vol.63 (4), p.74-76
Hauptverfasser:	Dave, Priti, Bhosle, Deepak, Dharme, Madhav, Deshmukh, Deepak, Patel, Jay
Format:	Artikel
Sprache:	eng
Schlagworte:	Addison Disease - diagnosis Addison Disease - etiology Alopecia - diagnosis Alopecia - etiology Diabetes Mellitus, Type 1 - diagnosis Diabetes Mellitus, Type 1 - etiology Female Humans Hypoparathyroidism - diagnosis Hypoparathyroidism - etiology Hypothyroidism - diagnosis Hypothyroidism - etiology Middle Aged Polyendocrinopathies, Autoimmune - complications Polyendocrinopathies, Autoimmune - diagnosis
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Zusammenfassung:	A 46 years old female, presented with severe fatigue, nypotension ana hyperpigmentation. Her basal serum cortisol level at 8 a.m. was < 1.0 μg/dl which suggested a diagnosis of Addison's disease. An association with latent autoimmune diabetes of adult and autoimmune hypothyroidism led to a diagnosis of Polyglandular Autoimmune Syndrome type II (PAS II). She also had alopecia universalis and hypoparathyroidism which are very rare in PAS type II syndrome. On treatment with hydrocortisone and fludrocortisone there was drastic improvement in the clinical features.
ISSN:	0004-5772