Author: Smith, Ryan Kenneth; Gerrits, Peter M.
Title: A Rare Case of Autoimmune Polyglandular Syndrome Type 2 in a Child With Persistent Fatigue Document date: 2019_5_1
ID: 6hxn482r_7
Snippet: At outpatient follow-up, very long chain fatty acids were normal, eliminating adrenoleukodystrophy as a possible etiology for the adrenal insufficiency. The diabetes autoimmune test group was normal, but the TSH remained elevated with a normal T4, confirming autoimmune hypothyroidism. Follicle-stimulating hormone and luteinizing hormone were normal, eliminating concomitant hypogonadism, but tissue transglutaminase immunoglobulin A was elevated, r.....
Document: At outpatient follow-up, very long chain fatty acids were normal, eliminating adrenoleukodystrophy as a possible etiology for the adrenal insufficiency. The diabetes autoimmune test group was normal, but the TSH remained elevated with a normal T4, confirming autoimmune hypothyroidism. Follicle-stimulating hormone and luteinizing hormone were normal, eliminating concomitant hypogonadism, but tissue transglutaminase immunoglobulin A was elevated, raising suspicion for celiac disease. Levothyroxine was started and he was referred for intestinal biopsy to confirm celiac disease.
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