Autoimmune Polyglandular Syndrome Type-2 A Case Report on a Rare Disease

Authors

  • Wahaj Ul Hassan Department of Medicine, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
  • Ummarah Zafar Farid Department of Medicine, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
  • Kamran Ali Department of Medicine, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) Pakistan
  • Umer Naseer Department of Medicine, Combined Military Hospital, Peshawar/ National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.8277

Keywords:

Autoimmune polyglandular syndrome, Addison's disease, Myasthenia gravis

Abstract

Autoimmune polyglandular syndromes (APS) are rare disorders involving multiple endocrine and non-endocrine organs.
These are often difficult to diagnose, as the clinical presentation of these is insidious. We present a case where a 29-year-old man presented to the Emergency Department in a state of altered sensorium with a history of focal seizures. His clinical
presentation further included hypotension, malaise, and diplopia. A detailed workup revealed multiple endocrine gland
involvement, and a diagnosis of APS was made.

Downloads

Download data is not yet available.

References

Perniola R, Fierabracci A, Falorni A. Autoimmune Addison'sdisease as part of the autoimmune polyglandular syndrome type1: historical overview and current evidence. Front Immunol 2021;12: 298. https://doi.org/10.3389/fimmu.2021.606860.

Banerjee M, Mondal SK, Maisnam I, Mukherjee AK. Jaundice and anaemia as presenting features of an incomplete

autoimmune polyglandular syndrome type II. BMJ Case Rep 2019; 12(4): e228490. https://doi.org/10.1136/bcr-2018-228490.

PV AA, Kumar J, Unnikrishnan D, Raj R. Case of autoimmunepolyglandular syndrome type-2: how we uncovered the

diagnosis. BMJ Case Rep 2019; 12(2): e227187.https://doi.org/10.1136%2Fbcr-2018-227187.

Bain A, Stewart M, Mwamure P, Nirmalaraj K. Addison's diseasein a patient with hypothyroidism: autoimmune polyglandularsyndrome type 2. Case Rep 2015; 2015: bcr2015210506.https://doi.org/10.1136/bcr-2015-210506.

Dittmar M, Kahaly GJ. Polyglandular autoimmune syndromes:immunogenetics and long-term follow-up. J Clin. Endocrinol

Metab 2003; 88(7): 2983-2992.https://doi.org/10.1210/jc.2002-021845.

Betterle C, Lazzarotto F, Presotto F. Autoimmune polyglandularsyndrome Type-2: the tip of an iceberg? Clin Exp Immunol 2004;137(2):225-33. https://doi.org/10.1111/j.1365-2249.2004.02561.x.

Husebye ES, Anderson MS, Kämpe O. Autoimmune polyendocrine syndromes. NEJM. 2018; 378(12): 1132-1141.

https://doi.org/10.1056/nejmra1713301.

Prylutskyi O, Prylutska O, Degonskyi A. A case of autoimmunepolyglandular syndrome. ype 2 associated with atypical form ofScleromyxedema. Ethiop J Health Sci 2016; 26(5): 503.

Kahaly GJ, Frommer L. Polyglandular autoimmune syndromes. JEndocrinol Invest 2018; 41(1): 91-98.

https://doi.org/10.1007/s40618-017-0740-9.

Downloads

Published

30-12-2023

Issue

Section

Case Reports

How to Cite

1.
Hassan WU, Farid UZ, Ali K, Naseer U. Autoimmune Polyglandular Syndrome Type-2 A Case Report on a Rare Disease. Pak Armed Forces Med J [Internet]. 2023 Dec. 30 [cited 2024 Dec. 27];73(6):1872-3. Available from: https://pafmj.org/PAFMJ/article/view/8277