Endocrine Abstracts

This was a 26 year old girl was referred for addisons disease. Her initial blood test showed low Na-123 with raised K-6. She complained feeling tired and lethargic for last 2 months. On examination, wt 108 kg, alopecia on the occipital scalp. Obese lady, CVS and respiratory system examination were normal. Her Short Synacthen test showed blunted response. She was immediately started on Hydrocortisone 10-5-5. Furhter bloods showed TSH-18, FT4-5.6, positive Anti TPO Ab, positive adrenal Ab, LFT-normal, FBC-normal. All the antibodies for coeliac disease, T1DM and pernicious anaemia were negative. She also had multlocular ovarian cyst- undergone laparoscopic surgery. She was also diagnosed with depression and recently started on Citalopram

Questions;

1. Is this Polyglandular Autoimmune syndrome Type 2.

2. How to follow up these cases