Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 3, Number 1, February 2012, pages 1-3


A Significant Discrepancy Between Endocrinological and Clinical Phenotype and Immunological Phenotype in Autoimmune Polyglandular Syndrome Type 3

Tables

Table 1. Clinical, Immunological, and Endocrinological Characteristics of Our Patient with Autoimmune Polyglandular Syndrome Type 3
 
AutoantibodiesTiterSuspected diseasesEndocrinological findingsSymptoms and other data
ab: antibody; BS: blood sugar; CCP: cyclic citrullinated peptide; CRP: C-reactive protein; GAD: glutamic acid decarboxylase; IA-2: insulinoma-associated protein-2; NR: normal range; RF: rheumatoid arthritis; T3: triiodothyronine; T4: thyroxine; TG: thyroglobulin; TPO: thyroid peroxidase; TSH: thyroid stimulating hormone.
anti-TPO ab> 600 IU/mL (NR < 16)Hashimoto’s diseaseTSH 3.62 µIU/mL (NR, 0.54 - 4.26)
free T3 3.51 pg/mL (NR, 2.39 - 4.06)
asymptomatic
anti-TG ab298 IU/mL (NR < 28)free T4 1.11 ng/dL (NR, 0.71 - 1.52)
anti-GAD ab10 000 U/Ml (NR < 1.5)type 1 diabetesurinary C-peptide 70 µg/day (NR, 29.2 - 167)BS 335 mg/dL
HbA1c 8.8%
anti-IA-2 ab11.0 U/mL (NR < 0.4)
anti-SSA/Ro ab> 500 U/mL (NR < 10)Sjögren's syndromedry eye and dry mouth
anti-SSB/La ab139 U/Ml (NR < 10)
RF320 IU/mL (NR < 20)rheumatoid arthritisasymptomatic
anti-CCP ab (-)
CRP (-)

 

Table 2. Major Component Diseases and Minor Autoimmune Diseases in Each Type of Autoimmune Polyglandular Syndrome [1]
 
Type 1Type 2Type 3Type 4
major component diseasesAddison diseaseAddison diseasethyroid autoimmune diseasesAddison disease
hypoparathyroidismthyroid autoimmune diseases3A-type 1 diabetes
candidiasistype 1 diabetes3B-pernicious anemia
3C-vitiligo, alopecia, other organ-specific autoimmune diseases
minor autoimmune diseasestype 1 diabetes
gonadal failure
pernicious anemia
malabsorption
vitiligo
alopecia
myasthenia gravis
gonadal failure
vitiligo
alopecia
pernicious anemia
Celiac disease
malabsorption
gonadal failure
sarcoidosis
Sjögren's syndrome
rheumatoid arthritis
myasthenia gravis
gonadal failure
malabsorption
hypophysitis
autoimmune hepatitis
pernicious anemia
myasthenia gravis
vitiligo
alopecia