title: Latent polyglandular autoimmune syndrome type 2 case diagnosed during a shock manifestation.
abstract: There are many types of polyglandular autoimmune syndrome (PAS). PAS type 2 is the most common type among adults. For PAS type 2 (PAS-2) diagnosis, detection of Addison's disease with autoimmune thyroid disease and/or type 1 diabetes mellitus are required. Premature ovarian insufficiency, pernicious anemia, vitiligo, alopecia, myasthenia gravis, celiac disease and autoimmune diabetes insipidus may be comorbidities of this condition. Contrary to the common belief, latent PAS is more common than the manifest forms. Here, we present a PAS-2 case diagnosed via adrenal crisis. At the time of diagnosis, the case was observed to have thyroid, adrenal and ovarian involvement. Therefore, PAS-2 and possible immunologic disorders were discussed.
authors.affiliation: a Department of Endocrinology and Metabolism , Hatay Antakya State Hospital , Hatay , Turkey .
authors.forename: Eren
authors.initials: E
authors.lastname: Gürkan
authors.affiliation: b Department of Endocrinology and Metabolism , Kocaeli Üniversity Medical Faculty , Kocaeli , Turkey .
authors.forename: Berrin
authors.initials: B
authors.lastname: Çetinarslan
authors.affiliation: c Department of Radiology , and.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Güzelmansur
authors.affiliation: d Department of Nuclear Medicine , Hatay Antakya State Hospital , Hatay , Turkey.
authors.forename: Beyza
authors.initials: B
authors.lastname: Kocabaş
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000209:etiology; D000328:Adult; D000568:Amenorrhea / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis* / Q000209:etiology; D016884:Polyendocrinopathies, Autoimmune / Q000150:complications / Q000175:diagnosis*
keywords: Adrenal gland; amenorrhea; hyperthyroidism