Autoimmune Polyglandular Syndrome Type 2 with Alopecia Universalis and Hypoparathyroidism
Dave, P.; Bhosle, D.; Dharme, M.; Deshmukh, D.; Patel, J.
Journal of the Association of Physicians of India 63(4): 74-76
2015
ISSN/ISBN: 0004-5772 PMID: 26591178 Document Number: 679132
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.