DOI: 10.12890/2024_004627
A silent cause of shock: autoimmune polyglandular syndromes
Authors
macolantonio@hsc.wvu.edu
Keywords
Adrenal insufficiency, Addison’s disease, Hashimoto’s disease, autoimmune polyglandular syndromes, autoimmune polyendocrine syndrome type 2Abstract
Addison’s disease is a rare, autoimmune condition leading to the destruction of the adrenal gland. Autoimmune conditions are known to commonly co-occur. When Addison’s disease presents in the setting of autoimmune thyroid disease and/or type 1 diabetes, this condition is termed autoimmune polyendocrine syndrome type II, a rare endocrinopathy found in roughly 1.4-4.5 per 100,000 individuals. Here, we describe a clinical case presenting with hypotension refractory to fluid resuscitation and electrolyte derangements later diagnosed as autoimmune polyendocrine syndrome type II.
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