Abstract
A case of primary hypothyroidism, idiopathic Addison's disease, idiopathic hypoparathyroidism (with preceding moniliasis), Addisonian pernicious anaemia and primary ovarian failure is described. She died at the age of 24 years following an illness compatible with adrenal crisis. At post-mortem there was no recognizable adrenal or ovarian tissue; there was only a minute portion of probable parathyroid tissue and the uterus was infantile. Her serum contained antibodies reactive with adrenal cortex, steroid-producing cells in the gonads, placental trophoblasts and thyroid epithelial cytoplasm and intrinsic factor.
Her brother, who was known to have gluten enteropathy, died aged 11 years following an illness compatible with adrenal crisis. His adrenal glands were grossly atrophic at autopsy.
The parents were consanguinous and both showed either clinical or serological evidence of organ specific autoimmune disease.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- BEAVEN D. W., NELSON D. H., RENOLD A. E., THORN G. W. Diabetes mellitus and Addison's disease: a report on eight patients and a review of 55 cases in the literature. N Engl J Med. 1959 Aug 27;261:443–454. doi: 10.1056/NEJM195908272610909. [DOI] [PubMed] [Google Scholar]
- Blizzard R. M., Chee D., Davis W. The incidence of adrenal and other antibodies in the sera of patients with idiopathic adrenal insufficiency (Addison's disease). Clin Exp Immunol. 1967 Jan;2(1):19–30. [PMC free article] [PubMed] [Google Scholar]
- 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]
- 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]
- DUNLOP D. EIGHTY-SIX CASES OF ADDISON'S DISEASE. Br Med J. 1963 Oct 12;2(5362):887–891. doi: 10.1136/bmj.2.5362.887. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Goudie R. B., Stuart-Smith D. A., Boyle I. T., Ferguson A. Serological diagnosis of idiopathic Addison's disease in patients on prolonged prednisolone therapy for steatorrhoea. Lancet. 1969 Jan 25;1(7587):186–188. doi: 10.1016/s0140-6736(69)91194-5. [DOI] [PubMed] [Google Scholar]
- 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]
- Heggarty H. Addison's disease in identical twins. Br Med J. 1968 Mar 2;1(5591):559–559. doi: 10.1136/bmj.1.5591.559. [DOI] [PMC free article] [PubMed] [Google Scholar]
- IRVINE W. J. THYROID AUTO-IMMUNITY AS A DISORDER OF IMMUNOLOGICAL TOLERANCE. Q J Exp Physiol Cogn Med Sci. 1964 Jul;49:324–337. doi: 10.1113/expphysiol.1964.sp001738. [DOI] [PubMed] [Google Scholar]
- Irvine W. J., Chan M. M., Scarth L., Kolb F. O., Hartog M., Bayliss R. I., Drury M. I. Immunological aspects of premature ovarian failure associated with idiopathic Addison's disease. Lancet. 1968 Oct 26;2(7574):883–887. doi: 10.1016/s0140-6736(68)91053-2. [DOI] [PubMed] [Google Scholar]
- Irvine W. J., Chan M. M., Scarth L. The further characterization of autoantibodies reactive with extra-adrenal steroid-producing cells in patients with adrenal disorders. Clin Exp Immunol. 1969 May;4(5):489–503. [PMC free article] [PubMed] [Google Scholar]
- Irvine W. J., Stewart A. G., Scarth L. A clinical and immunological study of adrenocortical insufficiency (Addison's disease). Clin Exp Immunol. 1967 Jan;2(1):31–70. [PMC free article] [PubMed] [Google Scholar]
- 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]
- Meecham J., Jones E. W. Addison's disease and Addisonian anaemia. Lancet. 1967 Mar 11;1(7489):535–538. doi: 10.1016/s0140-6736(67)92114-9. [DOI] [PubMed] [Google Scholar]
- Price W. H., Irvine W. J. Autoimmunity in women with sex chromosome aneuploidy and in their parents compared to controls. Clin Exp Immunol. 1969 Apr;4(4):365–374. [PMC free article] [PubMed] [Google Scholar]
- SMITH M. E., GOUGH J., GALPIN O. P. ADDISON'S DISEASE IN IDENTICAL TWINS. Br Med J. 1963 Nov 23;2(5368):1316–1316. [PMC free article] [PubMed] [Google Scholar]
- Spinner M. W., Blizzard R. M., Childs B. Clinical and genetic heterogeneity in idiopathic Addison's disease and hypoparathyroidism. J Clin Endocrinol Metab. 1968 Jun;28(6):795–804. doi: 10.1210/jcem-28-6-795. [DOI] [PubMed] [Google Scholar]
- Turkington R. W., Lebovitz H. E. Extra-adrenal endocrine deficiencies in Addison's disease. Am J Med. 1967 Oct;43(4):499–507. doi: 10.1016/0002-9343(67)90176-3. [DOI] [PubMed] [Google Scholar]