SCHMIDT’S SYNDROME IN A 32 YEARS OLD FEMALE

Authors

  • Abdul Latif Khattak Combined Military Hospital, Murree
  • Waqar Ali Combined Military Hospital Murree,
  • Salman Saleem Military Hospital, Rawalpindi
  • Muhammad Idris Ayub Medical College, Abbottabad
  • Naseer Ahmad Khan Military Hospital Rawalpindi
  • Waseem Pasha Combined Military Hospital Murree,

Abstract

In polyglandular autoimmune (PGA) syndromes, there is immune dysfunction of two or more endocrine glands. Immunity mediated disorders of non-endocrine organs may also be seen. These syndromes are of two main types: type I and type II. We are reporting this case of a 32 years old lady who presented initially with hypothyroidism for many years and received thyroid replacement therapy. After that she was married and had children. After an interval of about seven years of the initial diagnosis of hypothyroidism, she was hospitalized in first trimester of pregnancy for severe vertigo, syncopal episodes and hypotension. She responded well to intravenous fluids and steroids. Further endocrine related investigations revealed Addison’s disease and the above episode were retrospectively diagnosed as Addisonian crisis. Thus the patient was diagnosed as Schmidt’s Syndrome (Autoimmune polyendocrine syndrome type 2) since 2009.Keywords: Schmidt's syndrome, autoimmune, Addison’s disease, hypothyroidism

References

Baker JR Jr. Autoimmune endocrine disease. JAMA 1997;278(22):1931–7.

Cooper GS, Stroehla BC. The epidemiology of autoimmune diseases. Autoimmun Rev 2003;2(3):119–25.

Betterle C, Lazzarotto F, Presotto F. Autoimmune polyglandular syndrome Type 2: the tip of an iceberg?.Clin Exp Immunol 2004;137(2):225–33.

Ramos-Lopez E, Lange B, Kahles H, Willenberg HS, Meyer G, Penna-Martinez M, et al. Insulin gene polymorphisms in type 1 diabetes, Addison's disease and the polyglandular autoimmune syndrome type II. BMC Med Genet 2008;9:65.

Obermayer-Straub P, Manns MP. Autoimmune polyglandular syndromes. Baillieres Clin Gastroenterol 1998;12(2):293–315.

Bizzaro N. The predictive significance of autoantibodies in organ-specific autoimmune diseases. Clin Rev Allergy Immunol 2008;34(3):326–31.

de Graaff LC, Smit JW, Radder JK. Prevalence and clinical significance of organ-specific autoantibodies in type 1 diabetes mellitus. Neth J Med 2007;65(7):235–47.

Eisenbarth GS, Gottlieb PA. Autoimmune polyendocrine syndromes. N Engl J Med 2004;350(20):2068–79.

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Published

2015-06-20

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