title: Type 1 diabetes mellitus, celiac disease, systemic lupus erythematosus and systemic scleroderma in a 15-year-old girl.
abstract: We report a case of an association of four autoimmune diseases in a 15-year-old girl and we discuss the etiopathogenic of this association and difficulties of treatment.
authors.affiliation: Rheumatology Department, Farhat Hached Hospital, Sousse, Tunisia. haloula5@yahoo.fr
authors.forename: Héla
authors.initials: H
authors.lastname: Zeglaoui
authors.forename: Hanène
authors.initials: H
authors.lastname: Landolsi
authors.forename: Amani
authors.initials: A
authors.lastname: Mankai
authors.forename: Ibtissem
authors.initials: I
authors.lastname: Ghedira
authors.forename: Elyès
authors.initials: E
authors.lastname: Bouajina
mesh_terms: D000293:Adolescent; D001327:Autoimmune Diseases / Q000276:immunology / Q000503:physiopathology*; D015551:Autoimmunity / Q000502:physiology; D015984:Causality; D002446:Celiac Disease / Q000150:complications* / Q000178:diet therapy / Q000276:immunology; D015897:Comorbidity; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000178:diet therapy / Q000276:immunology; D055050:Diet, Gluten-Free; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000276:immunology; D011241:Prednisone / Q000627:therapeutic use; D012595:Scleroderma, Systemic / Q000150:complications* / Q000276:immunology; D013549:Sweetening Agents / Q000009:adverse effects; D016896:Treatment Outcome; D014416:Tunisia
chemical_list: D013549:Sweetening Agents; D011241:Prednisone