title: An unusual association of three autoimmune disorders: celiac disease, systemic lupus erythematosus and Hashimoto's thyroiditis.
abstract: Autoimmune disorders are known to be more frequent in women and often associated each others, but it is rare to see multiple autoimmune diseases in a single patient. Recently, the concept of multiple autoimmune syndrome has been introduced to describe patients with at least three autoimmune diseases. We describe a case of a young man with a clinical history of psychiatric symptoms and celiac disease (CD) who was diagnosed to have other two autoimmune disorders: systemic lupus erythematosus (SLE) and Hashimoto's thyroiditis. This case is unusual upon different patterns: the rare combination of the three autoimmune diseases, their appearance in a man and the atypical onset of the diseases with psychiatric symptoms likely to be related either to CD or to SLE.
authors.affiliation: Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Piazza Giulio Cesare 11, 70124, Bari, Italy. viera.boccuti@gmail.com.
authors.forename: Viera
authors.identifier: http://orcid.org/0000-0003-3959-1664
authors.initials: V
authors.lastname: Boccuti
authors.affiliation: Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Piazza Giulio Cesare 11, 70124, Bari, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Perrone
authors.affiliation: Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Piazza Giulio Cesare 11, 70124, Bari, Italy.
authors.forename: Alessia
authors.initials: A
authors.lastname: D'Introno
authors.affiliation: Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Piazza Giulio Cesare 11, 70124, Bari, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Campobasso
authors.affiliation: Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Piazza Giulio Cesare 11, 70124, Bari, Italy.
authors.forename: Moris
authors.initials: M
authors.lastname: Sangineto
authors.affiliation: Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Piazza Giulio Cesare 11, 70124, Bari, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Sabbà
keywords: Celiac disease; Hashimoto’s thyroiditis; Multiple autoimmune syndrome; Systemic lupus erythematosus