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CASE REPORT
Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 71-73

Polyglandular autoimmune syndrome iii with hypoglycemia and association with empty sella and hypopituitarism


Department of Endocrinology, King Fahd Armed Forces Hospital, Jeddah, 21159, Saudi Arabia

Correspondence Address:
Patan Murthuza Khan
P.O. Box 9862, King Fahd Armed Forces Hospital, Jeddah 21159
Saudi Arabia
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DOI: 10.4103/1658-631X.194251

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A 25-year-old Saudi female with a known case of autoimmune thyroiditis presented to the Emergency Room in stuporous condition. A blood test revealed a blood sugar level of 1.7 mmols/l (30.6 mg/dl). The patient was resuscitated with intravenous glucose. Further evaluations of the patient revealed celiac disease and idiopathic thrombocytopenia with preexisting autoimmune thyroiditis (polyglandular autoimmune syndrome III [PAS III]). The severe hypoglycemia, coupled with 6 years of infertility evaluation, revealed a rare association of empty sella syndrome with hypopituitarism {PAS II}.


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