ECE2015 Eposter Presentations Clinical Cases–Pituitary/Adrenal (95 abstracts)
King Abdulaziz, Jeddah, Saudi Arabia.
A 58-year-old Saudi female presented with fatigue, dizziness and generalised skin hyper-pigmentation. She was diagnosed as Hashimotos hypothyroidism. She was diagnosed recently to be diabetic and her blood sugar was controlled with insulin. She reached menopause at the age of 36 years.
| Lab results | Patient | Reference |
| FT4 | 15;pmol/l | 1222 |
| TSH | 36 uIU/l | 0.274.2 |
| Antithyroglublin AB | 1:1600 | |
| Corisoal at 8.00 | 3.6 ug/dl | 823 |
| ACTH | 850 pg/mL | 2080 |
BPis 90/60 mm/Hg sitting and 70/50 mm/Hg standing. Generalised hyper-pigmentation of the skin. Diagnosis is polyglandular autoimmune syndrome type 2 (Schmidts syndrome) was made on the basis of concomitant Hashimotos hypothyroidism; premature ovarian failure; Addisons disease; IDDM.