Autoimmune Polyendocrine Syndrome: Difference between revisions

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There are two distinct types APS-1 and APS-2
=== Types ===
 
* There are two distinct types APS-1 and APS-2
* APS also named PAS


== APS-1 ==
== APS-1 ==
=== Clinic ===
=== Clinic ===


* APS-1 is a subtype of autoimmune polyendocrine syndrome
* APS-1causes the dysfunction of multiple endocrine glands due to autoimmunity.
* It causes the dysfunction of multiple endocrine glands due to autoimmunity.  
* It is an inherited in autosomal recessive fashion
* It is an inherited in autosomal recessive fashion


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=== Signs and symptoms ===
=== Signs and symptoms ===


* Chronic mucocutaneous candidiasis.
* Chronic mucocutaneous candidiasis
* Hypoparathyroidism.
* Hypoparathyroidism
* Addison's disease.
* [[Addison's disease]]
* Ectodermal dystrophy (skin, dental enamel, and nails).
* Ectodermal dystrophy (skin, dental enamel, and nails)
 
 


APS-1 may also cause:
APS-1 may also cause:


* Autoimmune hepatitis.
* Autoimmune hepatitis
* Hypogonadism.
* [[Hypogonadism]]
* Vitiligo.
* [[Vitiligo]]
* Alopecia.
* [[Alopecia]]
* Malabsorption.
* Malabsorption
* Pernicious anemia.
* [[Pernicious anemia]]
* Cataract.
* [[Cataract]]
* Cerebellar ataxia.
* Cerebellar ataxia





Revision as of 23:27, 5 April 2023

Types

  • There are two distinct types APS-1 and APS-2
  • APS also named PAS

APS-1

Clinic

  • APS-1causes the dysfunction of multiple endocrine glands due to autoimmunity.
  • It is an inherited in autosomal recessive fashion


Signs and symptoms

  • Chronic mucocutaneous candidiasis
  • Hypoparathyroidism
  • Addison's disease
  • Ectodermal dystrophy (skin, dental enamel, and nails)


APS-1 may also cause:


APS-2

Clinic

  • APS-2 a form of autoimmune polyendocrine syndrome also known as PAS II
  • It is the most common form of the polyglandular failure syndromes.
  • PAS II is defined as the association between autoimmune Addison's disease and either autoimmune thyroid disease, type 1 diabetes, or both.
  • It is heterogeneous and has not been linked to one gene.
  • APS-II affects women to a greater degree than men.

Signs and symptoms

  • Hashimoto thyroiditis: Nausea, Frequent urination, Palpitations, Weight loss, Anorexia
  • Low blood pressure
  • Hypoparathyroidism
  • Myalgia
  • Graves' disease
  • Anaemia
  • Hypogonadism
  • Diabetes mellitus

Entities / Miasms

EBV MTB MMP B19 CXB HCV HSV RBL
Hashimoto thyroiditis ++ +++ + + +++ + +
Adrenal insufficiency ++
Diabetes Insulin dependent +++ +++ +++ +++
Female, Infertility / Oophoritis +++ +++
Anemia +++ +++ +++ +++ +++