Saif Aasem, Assem M
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Endocr Regul. 2017 Apr 25;51(2):114-116. doi: 10.1515/enr-2017-0011.
A 31-year-old lady, diagnosed to have premature ovarian failure in the gynecology clinic, was referred for endocrine assessment because of an abnormal thyroid function test. Clinical examination revealed hypotension, and fungal skin infection under her atrophic breasts. Thyroid stimulating hormone (TSH) level was very high. Assessment of the suprarenal function revealed evidence of Addison's disease. Polyglandular autoimmune dysfunction was diagnosed. She was treated with prednisone, fludrocortisone, and levothyroxine with significant improvement of her general condition and blood pressure.
一名31岁女性，在妇科诊所被诊断为卵巢早衰，因甲状腺功能检查异常而被转诊进行内分泌评估。临床检查发现低血压，萎缩乳房下有皮肤真菌感染。促甲状腺激素（TSH）水平非常高。肾上腺功能评估显示有艾迪生病的迹象。诊断为多腺体自身免疫功能障碍。她接受了泼尼松、氟氢可的松和左甲状腺素治疗，全身状况和血压有显著改善。
