Endocrinology Book

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Autoimmune Polyglandular Syndrome, Type II

Aka: Autoimmune Polyglandular Syndrome, Type II, Autoimmune Polyglandular Syndrome, APS II
  1. Epidemiology
    1. Prevalence: 2 per 100,000
    2. Age of Onset: 30-40 years
    3. Gender: Women affected 3 times more than men
  2. Risk Factors
    1. HLA haplotype DR3 (DQB*0201)
    2. HLA haplotype DR4 (DQB1*0302)
  3. Diagnosis
    1. Required Conditions for diagnosis
      1. Autoimmune Adrenal Insufficiency
        1. Presenting diagnosis in 50% of cases
        2. Associated with second autoimmune condition in 50%
      2. Autoimmune Thyroid disease
      3. Type I Diabetes Mellitus
    2. Commonly Associated Conditions (4-10%)
      1. Vitiligo
      2. Chronic atrophic Gastritis (and Pernicious Anemia)
      3. Hypergonadotropic Hypogonadism
      4. Chronic Autoimmune Hepatitis
      5. Alopecia
    3. Other Associated Conditions (<1%)
      1. Myasthenia Gravis
      2. Rheumatoid Arthritis
      3. Sjogren's Syndrome
  4. Presentation
    1. See Adrenal Insufficiency
    2. See other associated conditions listed above
  5. Diagnosis
    1. See Adrenal Insufficiency
    2. See other associated conditions listed above
  6. Management
    1. See Adrenal Insufficiency
    2. See other associated conditions listed above
  7. References
    1. Betterie (2002) Endocr Rev 23:327-64
    2. Majeroni (2007) Am Fam Physician 75(5):667-70

Autoimmune Syndrome Type II, Polyglandular (C0085860)

Concepts Disease or Syndrome (T047)
MSH D016884
ICD10 E31.0
SnomedCT 63805001, 83728000, 190567009
English Autoimmune Syndrome Type II, Polyglandular, Schmidt Syndrome, Schmidt's Syndrome, Schmidts Syndrome, Syndrome, Schmidt's, Addison's disease, toxic diffuse goiter and insulin-dependent diabetes mellitus, Primary hypothyroidism and adrenocortical insufficiency, Diab mell,Add dis,myxoed, Polygland autoimm syn-typeII, Type 2 polyendoc autoimmun syn, Addison's disease, toxic diffuse goitre and insulin-dependent diabetes mellitus, POLYGLANDULAR AUTOIMMUNE SYNDROME, TYPE II, APS II, PGA II, DIABETES MELLITUS, ADDISON DISEASE, MYXEDEMA, POLYENDOCRINE AUTOIMMUNE SYNDROME, TYPE II, APS2, SCHMIDT SYNDROME, AUTOIMMUNE POLYENDOCRINE SYNDROME, TYPE II, Schmidt's syndrome (disorder), Schmidt's syndrome (diagnosis), Carpenter syndrome, schmidt syndrome, schmidt's syndrome, schmidts syndrome, syndrome schmidt, Diabetes Mellitus, Addison's Disease, Myxedema, Polyglandular Deficiency Syndrome, Type 2, Autoimmune Polyendocrine Syndrome, Type 2, Multiple Endocrine Deficiency Syndrome, Type 2, Polyglandular Autoimmune Syndrome, Type 2, Schmidt's syndrome, APS type 2, Addison's disease with struma lymphomatosa, Polyglandular autoimmune syndrome, type 2, Diabetes mellitus, Addison's disease and myxedema, Diabetes mellitus, Addison's disease and myxoedema, PGA - Polyglandular autoimmune syndrome - type II, Polyglandular autoimmune syndrome - type II, Schmidt syndrome, Type 2 polyendocrine autoimmunity syndrome, Addison's disease, toxic diffuse goiter AND insulin-dependent diabetes mellitus, Addison's disease, toxic diffuse goitre AND insulin-dependent diabetes mellitus, Polyglandular autoimmune syndrome, type 2 (disorder), Primary hypothyroidism AND adrenocortical insufficiency, Schmidt, Polyglandular Type II Autoimmune Syndrome, Polyglandular autoimmune syndrome type II, Autoimmune Polyglandular Syndrome Type II
Italian Sindrome autoimmune plurighiandolare tipo II
Japanese 多腺性自己免疫性症候群2型, タセンセイジコメンエキセイショウコウグン2ガタ
Czech Schmidtův syndrom (endokrinní), autoimunitní syndrom polyglandulární typ II, Polyglandulární autoimunitní syndrom typu II
Spanish Schmidt's syndrome, síndrome autoinmune poliglandular, tipo 2 (trastorno), síndrome autoinmunitario poliglandular, tipo 2 (trastorno), enfermedad de Addison, bocio difuso tóxico Y diabetes mellitus insulino - dependiente, enfermedad de Addison, bocio difuso tóxico Y diabetes mellitus insulinodependiente, síndrome autoinmune poliglandular, tipo 2, síndrome autoinmunitario poliglandular, tipo 2, APS tipo 2, enfermedad de Addison con estruma linfomatoso, enfermedad de Addison, bocio difuso tóxico y diabetes mellitus insulino - dependiente, hipotiroidismo primario Y enfermedad de Addison, hipotiroidismo primario e insuficiencia adrenocortical, síndrome de Schmidt (concepto no activo), síndrome de Schmidt, Síndrome autoinmume poliglandular de tipo II, Síndrome de Schmidt, Síndrome Poliglandular Autoinmune Tipo II, Sindrome Poliglandular Autoinmune Tipo II, Sindrome de Schmidt
French Polyendocrinopathie auto-immune de type 2, Polyendocrinopathie auto-immune de type II, Polyendocrinopathie autoimmune de type 2, Polyendocrinopathie autoimmune de type II, Syndrome de Schmidt
German Autoimmunsyndrom Typ II, polyglanduläres, polyglandulaeres Autoimmunsyndrom Typ II, Schmidt-Syndrom, Polyglanduläres Typ-II-Autoimmunsyndrom
Hungarian Polyglandularis autoimmun syndroma II. típus
Portuguese Síndrome auto-imune poliglandular tipo II, Síndrome de Schmidt, Síndrome Poliglandular Auto-Imune Tipo II
Dutch polyglandulair auto-immuun syndroom type II, Auto-immuun endocrien syndroom type II, poly-glandulair, Poly-glandulair endocrien syndroom type II, auto-immuun, Schmidt syndroom
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Polyendocrinopathies, Autoimmune (C0085409)

Definition (NCI) A rare genetic syndrome characterized by autoantibodies production against more than one endocrine organ. The range of endocrinopathies includes hypoparathyroidism, adrenal insufficiency, hypogonadism, type 1 diabetes mellitus and hypothyroidism.
Definition (CHV) an autoimmune diseases affecting multiple endocrine organs
Definition (CHV) an autoimmune diseases affecting multiple endocrine organs
Definition (CHV) an autoimmune diseases affecting multiple endocrine organs
Definition (CHV) an autoimmune diseases affecting multiple endocrine organs
Definition (MSH) Autoimmune diseases affecting multiple endocrine organs. Type I is characterized by childhood onset and chronic mucocutaneous candidiasis (CANDIDIASIS, CHRONIC MUCOCUTANEOUS), while type II exhibits any combination of adrenal insufficiency (ADDISON'S DISEASE), lymphocytic thyroiditis (THYROIDITIS, AUTOIMMUNE;), HYPOPARATHYROIDISM; and gonadal failure. In both types organ-specific ANTIBODIES against a variety of ENDOCRINE GLANDS have been detected. The type II syndrome differs from type I in that it is associated with HLA-A1 and B8 haplotypes, onset is usually in adulthood, and candidiasis is not present.
Concepts Disease or Syndrome (T047)
MSH D016884
ICD10 E31.0
SnomedCT 18947001, 190568004, 41864002, 190567009
English Autoimmune Polyendocrinopathies, Polyendocrinopathy, Autoimmune, Autoimmune polyendocrinopathy, NOS, Autoimmune polyglandular syndrome, NOS, Polyglandular autoimmune syndrome, NOS, Autoimm polyglandular failure, Polyendocrine autoimmunity syn, Lloyd's syndrome (diagnosis), polyendocrine failure syndrome (diagnosis), endocrine Lloyd's syndrome, polyendocrine failure syndrome, Lloyd's syndrome (disorder), Autoimmune polyglandular failure (disorder), Autoimmune Polyendocrinopathy, Autoimmune Polyendocrinopathy Syndrome, Polyendocrinopathies, Autoimmune [Disease/Finding], lloyd's syndrome, autoimmune polyendocrinopathy, pga, aps, PGA, APS, Lloyd's syndrome, Autoimmune polyglandular failure, Polyendocrine autoimmunity syndrome, Polyglandular autoimmune syndrome, Autoimmune polyendocrinopathy (disorder), Autoimmune polyendocrinopathy, Autoimmune polyglandular syndrome, autoimmune; polyglandular syndrome, deficiency; polyglandular, autoimmune, polyglandular; deficiency, autoimmune, polyglandular; syndrome, autoimmune, syndrome; autoimmune polyglandular, syndrome; polyglandular, autoimmune, Polyendocrinopathies, Autoimmune
Swedish Polyendokrinopatier, autoimmuna
Czech polyendokrinopatie autoimunitní
Spanish Autoimmune polyglandular failure, Lloyd's syndrome, poliendocrinopatía autoinmunitaria (trastorno), poliendocrinopatía autoinmune (trastorno), poliendocrinopatía autoinmune, poliendocrinopatía autoinmunitaria, síndrome autoinmune poliglandular, síndrome poliglandular autoinmune, síndrome APS, síndrome PGA, síndrome de Lloyd (concepto no activo), síndrome de Lloyd, Poliendocrinopatías Autoinmunes, Poliendocrinopatias Autoinmunes
Finnish Autoimmuunipolyendokrinopatiat
Russian SHMIDTA SINDROM, POLIENDOKRINOPATII AUTOIMMUNNYE, AUTOIMMUNNYI SINDROM I TIPA POLIGLANDULIARNYI, AUTOIMMUNNYI SINDROM II TIPA POLIGLANDULIARNYI, POLIGLANDULIARNYI I TIPA AUTOIMMUNNYI SINDROM, AUTOIMMUNNAIA POLIENDOKRINOPATIIA-KANDIDOZ-EKTODERMAL'NAIA DISTROFIIA, POLIGLANDULIARNYI II TIPA AUTOIMMUNNYI SINDROM, ENDOKRINNYE BOLEZNI MNOZHESTVENNYE AUTOIMMUNNYE, АУТОИММУННАЯ ПОЛИЭНДОКРИНОПАТИЯ-КАНДИДОЗ-ЭКТОДЕРМАЛЬНАЯ ДИСТРОФИЯ, АУТОИММУННЫЙ СИНДРОМ II ТИПА ПОЛИГЛАНДУЛЯРНЫЙ, АУТОИММУННЫЙ СИНДРОМ I ТИПА ПОЛИГЛАНДУЛЯРНЫЙ, ПОЛИГЛАНДУЛЯРНЫЙ II ТИПА АУТОИММУННЫЙ СИНДРОМ, ПОЛИГЛАНДУЛЯРНЫЙ I ТИПА АУТОИММУННЫЙ СИНДРОМ, ПОЛИЭНДОКРИНОПАТИИ АУТОИММУННЫЕ, ШМИДТА СИНДРОМ, ЭНДОКРИННЫЕ БОЛЕЗНИ МНОЖЕСТВЕННЫЕ АУТОИММУННЫЕ
German Autoimmune polyglandulaere Insuffizienz, Polyendokrinopathien, Autoimmun-
Japanese シュミット症候群, 自己免疫性多発性内分泌症, 多腺性自己免疫症候群, 自己免疫性多発性内分泌症-カンジダ症-外胚葉ジストロフィー, 多腺性自己免疫症候群1型, 多腺性2型自己免疫症候群, 自己免疫症候群2型-多腺性, 自己免疫症候群1型-多腺性, 多腺性自己免疫症候群2型, 多腺性1型自己免疫症候群, Schmidt症候群, 多発性内分泌症-自己免疫性
Korean 자가면역성 뭇샘성 기능상실
Polish Choroby gruczołów dokrewnych autoimmunologiczne, Zespół wielogruczołowy autoimmunologiczny typ II, Zespół Schmidta, Zespół Carpentera, Autoimmunologiczne zaburzenia wielogruczołowe, Zespół wielogruczołowy autoimmunologiczny typ I, Poliendokrynopatie autoimmunologiczne, Zespół Blizzarda
Dutch auto-immuun; polyglandulair syndroom, deficiëntie; polyglandulair, auto-immuun, polyglandulair; deficiëntie, auto-immuun, polyglandulair; syndroom, auto-immuun, syndroom; auto-immuun polyglandulair, syndroom; polyglandulair, auto-immuun, Auto-immune polyglandulaire insufficiëntie, Auto-immune poly-endocrinopathie, Endocrinopathie auto-immune poly-, Poly-endocrinopathie, auto-immune
Italian Sindromi polighiandolari autoimmmuni
Portuguese Poliendocrinopatias Auto-Imunes
French Polyendocrinopathies auto-immunes, Polyendocrinopathies autoimmunes
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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