Journal of Korean Endocrine Society 1998;13(2):295-300.
Published online January 1, 2001.
A Case of Polygrandular Automune type II syndrome associated empty sella.
Jin Soo Kim, Mi Duk Lee, Hong Seung Kim, Choon Hee Chung
Abstract
The polyglandular autoimmune(PGA) syndrome designate as the dysfimction of endocrine and nonendocrine systems involving two or more organs on the basis of an autoimmune mechanism. There are 3 types of PGA syndrome and their etiology or pathogenesis is still not complete by understood. Type I PGA is present in the patients who have at least two of the triad of Addison's disease, hypopacathyroidism, and chronic mucocutaneous candidiasis. Type II PGA is present in the those who have Addisons disease with autoimmune thyroid disease and/or insulin dependent diabetes mellitus, but who do not have hypoparathyroidism or candidiasis. Type III PGA is present in the one who have autoimmune thyroid disease, without Addisons disease, but with another autoimmune disease report a case of autoimmune polyglandular syndrome type II in a seventy-three years old female patient who had primary adrenal insufficiency, primary hypothyroidism, and empty sella, pulmonary tuberculosis.
Key Words: Polyglandular autoimmune syndrome, Primary adrenal insufficiency, Primary hypothyroidism, Emyty sella, Pulmonary tuberculosis


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