ECE2015 Eposter Presentations Clinical Cases–Pituitary/Adrenal (95 abstracts)
King Abdulaziz, Jeddah, Saudi Arabia.
A 58-year-old Saudi female presented with fatigue, dizziness and generalised skin hyper-pigmentation. She was diagnosed as Hashimotos hypothyroidism. She was diagnosed recently to be diabetic and her blood sugar was controlled with insulin. She reached menopause at the age of 36 years.
Lab results | Patient | Reference |
FT4 | 15;pmol/l | 1222 |
TSH | 36 uIU/l | 0.274.2 |
Antithyroglublin AB | 1:1600 | |
Corisoal at 8.00 | 3.6 ug/dl | 823 |
ACTH | 850 pg/mL | 2080 |
BPis 90/60 mm/Hg sitting and 70/50 mm/Hg standing. Generalised hyper-pigmentation of the skin. Diagnosis is polyglandular autoimmune syndrome type 2 (Schmidts syndrome) was made on the basis of concomitant Hashimotos hypothyroidism; premature ovarian failure; Addisons disease; IDDM.