title: [Progressive decline in athletic performance].
abstract: A 48-year old engineer presented with progressive decline in sports performance. A history of latent hypothyroidism was known since 3 years. Adrenocortical insufficiency was suggested and confirmed by further investigations. Because of additional autoimmune thyroiditis and family history with autoimmune diabetes of the son, the diagnosis polyglandular autoimmune syndrome type II was made.
authors.affiliation: Departement für Innere Medizin, Universitätsspital Zürich.
authors.forename: P
authors.initials: P
authors.lastname: Wiesli
authors.forename: D
authors.initials: D
authors.lastname: Grob
authors.forename: C
authors.initials: C
authors.lastname: Schmid
authors.forename: G A
authors.initials: GA
authors.lastname: Spinas
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D010807:Physical Endurance / Q000502:physiology*; D016884:Polyendocrinopathies, Autoimmune / Q000175:diagnosis / Q000235:genetics*; D012865:Skiing / Q000502:physiology*
vernacular_title: Zunehmende sportliche Leistungseinbusse.