Autoimmune Polyendocrine Syndrome Complicated by Pulmonary Hypertension

Author:

Disoteo Olga E.1ORCID,Zampetti Benedetta2ORCID,Garascia Andrea3ORCID,Attanasio Roberto4ORCID,Cozzi Renato2ORCID

Affiliation:

1. ASST Grande Ospedale Metropolitano Niguarda, Diabetology Unit, Milan,Italy

2. ASST Grande Ospedale Metropolitano Niguarda, Endocrinology Department, Milan,Italy

3. ASST Grande Ospedale Metropolitano Niguarda, Cardiology Unit, Milan,Italy

4. IRCCS Orthopedic Institute Galeazzi, Endocrinology Service, Milan,Italy

Abstract

A 24-years old female was admitted for acute renal failure, melanoderma, hyponatremia, and hyperkalemia. The clinical suspicion of Addison’s disease was confirmed by laboratory test and the appropriate replacement therapy with corticosteroids and fludrocortisone was started. In the meantime primary hypothyroidism and diabetes mellitus type 1 were disclosed and treated, thus fulfilling a diagnosis of autoimmune polyendocrine syndrome type 2. Eighteen months later she was admitted for right-sided heart failure. The work-up allowed to diagnose pulmonary arterial hypertension. Here, we report the clinical course and discuss the putative link between these two rare diseases.

Publisher

Bentham Science Publishers Ltd.

Subject

Immunology and Allergy,Endocrinology, Diabetes and Metabolism

Reference29 articles.

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4. Betterle C.; Presotto F.; Autoimmune polyendocrine syndromes (APS) or multiple autoimmune syndromes (MAS) Handbook of systemic autoimmune diseases Endocrine Manifestations of Autoimmune diseases; Walker, SE; Jara, LJ, Eds; Elseviers Publisher, 2008; Vol 9, pp 135-148

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