Kasznicki Jacek, Drzewoski Józef
Endokrynol Pol. 2014;65(4):320-3. doi: 10.5603/EP.2014.0044.
We present a case of autoimmune polyglandular syndrome type III (APS III) associated with Hashimoto's disease, type 1 diabetes mellitus, vitiligo and autoimmune urticaria. This rare genetic disorder occurs with unknown frequency in the Polish population. It is characterised by endocrine tissue destruction resulting in the malfunction of multiple organs.Several cases of APS III associated with organ-specific autoimmune diseases such as coeliac disease, hypogonadism and myasthenia gravis, as well as organ-nonspecific or systemic autoimmune diseases such as sarcoidosis, Sjögren syndrome, and rheumatoid arthritis have been described. To the best of our knowledge, we here describe the first case of APS III associated with autoimmune thyroiditis, type 1 diabetes mellitus, vitiligo and autoimmune urticaria in an adult patient.
我们报告一例与桥本氏病、1型糖尿病、白癜风和自身免疫性荨麻疹相关的III型自身免疫性多腺体综合征(APS III)。这种罕见的遗传性疾病在波兰人群中的发病率未知。其特征是内分泌组织破坏,导致多个器官功能障碍。已有数例与器官特异性自身免疫性疾病如乳糜泻、性腺功能减退和重症肌无力,以及器官非特异性或全身性自身免疫性疾病如结节病、干燥综合征和类风湿性关节炎相关的APS III病例被描述。据我们所知,我们在此描述了首例成年患者中与自身免疫性甲状腺炎、1型糖尿病、白癜风和自身免疫性荨麻疹相关的APS III病例。