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Rare disease
CASE REPORT
Case of autoimmune polyglandular syndrome type 2: how we uncovered the diagnosis
  1. Akhila Arya P V1,
  2. Jayesh Kumar1,
  3. Dileep Unnikrishnan2 and
  4. Rishi Raj2
  1. 1 Department of Internal Medicine, Government Medical College, Kozhikode, Kerala, India
  2. 2 Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA
  1. Correspondence to Dr Dileep Unnikrishnan, drdileepunni{at}gmail.com

Abstract

A 24-year-old man with no significant medical history presented to the medical clinic with vomiting and giddiness for 2 days, loss of appetite for 1 month and progressive fatigability for the preceding 4 months. On examination, he was found to be hypotensive and was admitted to the hospital for work-up. Considering his abnormal labs and physical findings, he was worked up and was diagnosed with primary adrenal insufficiency. On further work-up for the aetiology of his Addison’s disease, he was found to have concurrent autoimmune thyroiditis and vitiligo. A final diagnosis of autoimmune polyglandular syndrome type 2 was made. The patient was started on hormone replacement therapy and reported improvement of symptoms on 3-month follow-up visit.

  • endocrinology
  • adrenal disorders
  • thyroid disease
  • immunology

https://doi.org/10.1136/bcr-2018-227187

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    Footnotes

    • Contributors AAPV, JK, DU and RR have directly contributed to the manuscript preparation of the case report or care of the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Author note The authors certify that neither this manuscript nor one with substantially similar content under their authorship has been published or is being considered for publication elsewhere.

    • Patient consent for publication Obtained.