Skip to main content
Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1967 Jan;2(1):71–82.

Moniliasis, `autoimmune' polyendocrinopathy, and immunologic family study

K D Wuepper, H H Fudenberg
PMCID: PMC1578812  PMID: 6030796

Abstract

A patient with chronic mucocutaneous moniliasis of 17 years' duration developed bilateral keratitis, hepatitis and steatorrhea, conditions often found in association with coexistent adrenocortical and parathyroid insufficiency. Immunologic studies showed that the patient's serum contained organ-specific antibodies. Further clinical investigation demonstrated adrenal and thyroid insufficiency; parathyroid function was normal. Immunologic abnormalities were also detected in seventeen members of his family, indicating a possible familial predisposition to `autoimmune' disease. A review of the literature suggested that the patient may have an incomplete form of a syndrome consisting primarily of idiopathic Addison's disease, hypoparathyroidism and moniliasis.

Full text

PDF
74

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ANDERSON J. R., GOUDIE R. B., GRAY K. G., TIMBURY G. C. Auto-antibodies in Addison's disease. Lancet. 1957 Jun 1;272(6979):1123–1124. doi: 10.1016/s0140-6736(57)91687-2. [DOI] [PubMed] [Google Scholar]
  2. ARDEMAN S., CHANARIN I. A METHOD FOR THE ASSAY OF HUMAN GASTRIC INTRINSIC FACTOR AND FOR THE DETECTION AND TITRATION OF ANTIBODIES AGAINST INTRINSIC FACTOR. Lancet. 1963 Dec 28;2(7322):1350–1354. doi: 10.1016/s0140-6736(63)90736-0. [DOI] [PubMed] [Google Scholar]
  3. Aronson S. B., Schnellmann D. C., Yamamoto E. A. Uveal autoantibody in ocular disease. JAMA. 1966 Apr 18;196(3):225–228. [PubMed] [Google Scholar]
  4. BERLIN R. Addison's disease: familial incidence and occurence in association with pernicious anemia. Acta Med Scand. 1952;144(1):1–6. doi: 10.1111/j.0954-6820.1952.tb15659.x. [DOI] [PubMed] [Google Scholar]
  5. BLIZZARD R. M., CHANDLER R. W., KYLE M. A., HUNG W. Adrenal antibodies in Addison's disease. Lancet. 1962 Nov 3;2(7262):901–903. doi: 10.1016/s0140-6736(62)90681-5. [DOI] [PubMed] [Google Scholar]
  6. Blizzard R. M., Chee D., Davis W. The incidence of parathyroid and other antibodies in the sera of patients with idiopathic hypoparathyroidism. Clin Exp Immunol. 1966 Apr;1(2):119–128. [PMC free article] [PubMed] [Google Scholar]
  7. CARPENTER C. C., SOLOMON N., SILVERBERG S. G., BLEDSOE T., NORTHCUTT R. C., KLINENBERG J. R., BENNETT I. L., Jr, HARVEY A. M. SCHMIDT'S SYNDROME (THYROID AND ADRENAL INSUFFICIENCY). A REVIEW OF THE LITERATURE AND A REPORT OF FIFTEEN NEW CASES INCLUDING TEN INSTANCES OF COEXISTENT DIABETES MELLITUS. Medicine (Baltimore) 1964 Mar;43:153–180. [PubMed] [Google Scholar]
  8. CARTER A. C., KAPLAN S. A., DEMAYO A. P., ROSENBLUM D. J. An unusual case of idiopathic hypoparathyroidism, adrenal insufficiency, hypothyroidism and metastatic calcification. J Clin Endocrinol Metab. 1959 Dec;19:1633–1641. doi: 10.1210/jcem-19-12-1633. [DOI] [PubMed] [Google Scholar]
  9. COLLINS-WILLIAMS C. Idiopathic hypoparathyroidism with papilledema in a boy six years of age; report of a case associated with moniliasis and the celiac syndrome and a brief review of the literature. Pediatrics. 1950 Jun;5(6):998–1007. [PubMed] [Google Scholar]
  10. CRAIG J. M., SCHIFF L. H., BOONE J. E. Chronic moniliasis associated with Addison's disease. AMA Am J Dis Child. 1955 Jun;89(6):669–684. doi: 10.1001/archpedi.1955.02050110809003. [DOI] [PubMed] [Google Scholar]
  11. ELLISON R. R., KANTROWITZ A. R., NORSA L., PERLMUTTER M. Idiopathic hypoparathyroidism and Addison's disease. Am J Med. 1956 Oct;21(4):634–643. doi: 10.1016/0002-9343(56)90078-x. [DOI] [PubMed] [Google Scholar]
  12. ESSELBORN V. M., LANDING B. H., WHITAKER J., WILLIAMS R. R. The syndrome of familial juvenile hypoadrenocorticism, hypoparathyroidism and superficial moniliasis. J Clin Endocrinol Metab. 1956 Oct;16(10):1374–1387. doi: 10.1210/jcem-16-10-1374. [DOI] [PubMed] [Google Scholar]
  13. FIALKOW P. J., FUDENBERG H., EPSTEIN W. V. "ACQUIRED" ANTIBODY HEMOLYTIC ANEMIA AND FAMILIAL ABERRATIONS IN GAMMA GLOBULINS. Am J Med. 1964 Feb;36:188–199. doi: 10.1016/0002-9343(64)90082-8. [DOI] [PubMed] [Google Scholar]
  14. FUDENBERG H., GERMAN J. L., 3rd, KUNKEL H. G. The occurrence of rheumatoid factor and other abnormalities in families of patients with agammaglobulinemia. Arthritis Rheum. 1962 Dec;5:565–588. doi: 10.1002/art.1780050605. [DOI] [PubMed] [Google Scholar]
  15. FULTHORPE A. J., ROITT I. M., DONIACH D., COUCHMAN K. A stable sheep cell preparation for detecing thyroglobulin auto-antibodies and its clinical applications. J Clin Pathol. 1961 Nov;14:654–660. doi: 10.1136/jcp.14.6.654. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Fong S. W., Nuckton A., Fudenberg H. H. Characterization of maternal isoagglutinins in ABO hemolytic disease of the newborn. Blood. 1966 Jan;27(1):17–37. [PubMed] [Google Scholar]
  17. Fudenberg H. H., Franklin E. C. Rheumatoid factors and the etiology of rheumatoid arthritis. Ann N Y Acad Sci. 1965 Jun 30;124(2):884–895. doi: 10.1111/j.1749-6632.1965.tb19012.x. [DOI] [PubMed] [Google Scholar]
  18. GITLIN D., CRAIG J. M. THE THYMUS AND OTHER LYMPHOID TISSUES IN CONGENITAL AGAMMAGLOBULINEMIA. I. THYMIC ALYMPHOPLASIA AND LYMPHOCYTIC HYPOPLASIA AND THEIR RELATION TO INFECTION. Pediatrics. 1963 Oct;32:517–530. [PubMed] [Google Scholar]
  19. HERSH E. M., BODEY G. P., NIES B. A., FREIREICH E. J. CAUSES OF DEATH IN ACUTE LEUKEMIA: A TEN-YEAR STUDY OF 414 PATIENTS FROM 1954-1963. JAMA. 1965 Jul 12;193:105–109. doi: 10.1001/jama.1965.03090020019005. [DOI] [PubMed] [Google Scholar]
  20. HOLBOROW E. J., BROWN P. C., ROITT I. M., DONIACH D. Cytoplasmic localization of "complement-fixing" auto-antigen in human thyroid epithelium. Br J Exp Pathol. 1959 Dec;40:583–588. [PMC free article] [PubMed] [Google Scholar]
  21. HUNG W., MIGEON C. J., PARROTT R. H. A POSSIBLE AUTOIMMUNE BASIS FOR ADDISON'S DISEASE IN THREE SIBLINGS, ONE WITH IDIOPATHIC HYPOPARATHYROIDISM, PERNICIOUS ANEMIA AND SUPERFICIAL MONILIASIS. N Engl J Med. 1963 Sep 26;269:658–663. doi: 10.1056/NEJM196309262691303. [DOI] [PubMed] [Google Scholar]
  22. HUNTER E. F., DEACON W. E., MEYER P. E. AN IMPROVED FTA TEST FOR SYPHILIS, THE ABSORPTION PROCEDURE (FTA-ABS). Public Health Rep. 1964 May;79:410–412. [PMC free article] [PubMed] [Google Scholar]
  23. HURWITZ L. J. Spontaneous hypoparathyroidism with megaloblastic anaemia. Lancet. 1956 Feb 4;270(6910):234–235. doi: 10.1016/s0140-6736(56)91156-4. [DOI] [PubMed] [Google Scholar]
  24. HUTER R. V., COLLINS H. S. The occurrence of opportunistic fungus infections in a cancer hospital. Lab Invest. 1962 Nov;11:1035–1045. [PubMed] [Google Scholar]
  25. IKKALA E., SIURALA M., VIRANKO M. HYPOPARATHYROIDISM AND PERNICIOUS ANAEMIA. Acta Med Scand. 1964 Jul;176:73–77. doi: 10.1111/j.0954-6820.1964.tb00647.x. [DOI] [PubMed] [Google Scholar]
  26. Irvine W. J., Davies S. H., Teitelbaum S., Delamore I. W., Williams A. W. The clinical and pathological significance of gastric parietal cell antibody. Ann N Y Acad Sci. 1965 Jun 30;124(2):657–691. doi: 10.1111/j.1749-6632.1965.tb18993.x. [DOI] [PubMed] [Google Scholar]
  27. Johnson G. D., Holborow E. J., Glynn L. E. Antibody to smooth muscle in patients with liver disease. Lancet. 1965 Oct 30;2(7418):878–879. doi: 10.1016/s0140-6736(65)92505-5. [DOI] [PubMed] [Google Scholar]
  28. KENNY F. M., HOLLIDAY M. A. HYPOPARATHYROIDISM, MONILIASIS, ADDISON'S AND HASHIMOTO'S DISEASES. HYPERCALCEMIA TREATED WITH INTRAVENOUSLY ADMINISTERED SODIUM SULFATE. N Engl J Med. 1964 Oct 1;271:708–713. doi: 10.1056/NEJM196410012711404. [DOI] [PubMed] [Google Scholar]
  29. LOURIA D. B., BRAYTON R. G. A SUBSTANCE IN BLOOD LETHAL FOR CANDIDA ALBICANS. Nature. 1964 Jan 18;201:309–309. doi: 10.1038/201309a0. [DOI] [PubMed] [Google Scholar]
  30. MALIK G. B., WATSON W. C., MURRAY D., CRUICKSHANK B. IMMUNOFLUORESCENT ANTIBODY STUDIES IN IDIOPATHIC STEATORRHOEA. Lancet. 1964 May 23;1(7343):1127–1129. doi: 10.1016/s0140-6736(64)91806-9. [DOI] [PubMed] [Google Scholar]
  31. MCKINNEY R. M., SPILLANE J. T., PEARCE G. W. FACTORS AFFECTING THE RATE OF REACTION OF FLUORESCEIN ISOTHIOCYANATE WITH SERUM PROTEINS. J Immunol. 1964 Aug;93:232–242. [PubMed] [Google Scholar]
  32. MORSE W. I., COCHRANE W. A., LANDRIGAN P. L. Familial hypoparathyroidism with pernicious anemia, steatorrhea and adrenocortical insufficiency: a variant of mucoviscidosis. N Engl J Med. 1961 May 18;264:1021–1026. doi: 10.1056/NEJM196105182642003. [DOI] [PubMed] [Google Scholar]
  33. Perlmann P., Hammarström S., Lagercrantz R., Gustafsson B. E. Antigen from colon of germfree rats and antibodies in human ulcerative colitis. Ann N Y Acad Sci. 1965 Jun 30;124(1):377–394. doi: 10.1111/j.1749-6632.1965.tb18972.x. [DOI] [PubMed] [Google Scholar]
  34. Sweetnam W. P. Juvenile familial endocrinopathy. Lancet. 1966 Feb 26;1(7435):463–465. doi: 10.1016/s0140-6736(66)91461-9. [DOI] [PubMed] [Google Scholar]
  35. TAYLOR K. B., ROITT I. M., DONIACH D., COUCHMAN K. G., SHAPLAND C. Autoimmune phenomena in pernicious anaemia: gastric antibodies. Br Med J. 1962 Nov 24;2(5316):1347–1352. doi: 10.1136/bmj.2.5316.1347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Talbot N. B., Butler A. M., Maclachlan E. A. THE EFFECT OF TESTOSTERONE AND ALLIED COMPOUNDS ON THE MINERAL, NITROGEN, AND CARBOHYDRATE METABOLISM OF A GIRL WITH ADDISON'S DISEASE. J Clin Invest. 1943 Jul;22(4):583–593. doi: 10.1172/JCI101430. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Clinical and Experimental Immunology are provided here courtesy of British Society for Immunology

RESOURCES