A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II

Autoimmune polyglandular syndrome (AIPS) is a heterogeneous condition characterized by the loss of immune tolerance and resultant dysfunction of multiple endocrine organs. Although this condition is insidious in nature, it frequently presents initially as adrenal insufficiency (AI). For patients in...

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Autores principales: Kumar, Monisha P, Thyagarajan, Braghadheeswar, Haller, Nairmeen, Ciltea, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970207/
https://www.ncbi.nlm.nih.gov/pubmed/31988549
http://dx.doi.org/10.5005/jp-journals-10071-23297
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author Kumar, Monisha P
Thyagarajan, Braghadheeswar
Haller, Nairmeen
Ciltea, Daniela
author_facet Kumar, Monisha P
Thyagarajan, Braghadheeswar
Haller, Nairmeen
Ciltea, Daniela
author_sort Kumar, Monisha P
collection PubMed
description Autoimmune polyglandular syndrome (AIPS) is a heterogeneous condition characterized by the loss of immune tolerance and resultant dysfunction of multiple endocrine organs. Although this condition is insidious in nature, it frequently presents initially as adrenal insufficiency (AI). For patients in shock, physicians routinely assess for infections, volume depletion as well as cardiogenic and iatrogenic causes of shock. However, the case described in this report emphasizes the need for high suspicion of AI syndrome when the etiology of shock remains unclear after primary assessment. A subsequent evaluation for autoimmune etiology, especially in young adults in appropriate clinical setting, may also be warranted. HOW TO CITE THIS ARTICLE: Kumar MP, Thyagarajan B, Haller N, Ciltea D. A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II. Indian J Crit Care Med 2019;23(12):582–583.
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spelling pubmed-69702072020-01-27 A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II Kumar, Monisha P Thyagarajan, Braghadheeswar Haller, Nairmeen Ciltea, Daniela Indian J Crit Care Med Case Report Autoimmune polyglandular syndrome (AIPS) is a heterogeneous condition characterized by the loss of immune tolerance and resultant dysfunction of multiple endocrine organs. Although this condition is insidious in nature, it frequently presents initially as adrenal insufficiency (AI). For patients in shock, physicians routinely assess for infections, volume depletion as well as cardiogenic and iatrogenic causes of shock. However, the case described in this report emphasizes the need for high suspicion of AI syndrome when the etiology of shock remains unclear after primary assessment. A subsequent evaluation for autoimmune etiology, especially in young adults in appropriate clinical setting, may also be warranted. HOW TO CITE THIS ARTICLE: Kumar MP, Thyagarajan B, Haller N, Ciltea D. A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II. Indian J Crit Care Med 2019;23(12):582–583. Jaypee Brothers Medical Publishers 2019-12 /pmc/articles/PMC6970207/ /pubmed/31988549 http://dx.doi.org/10.5005/jp-journals-10071-23297 Text en Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Kumar, Monisha P
Thyagarajan, Braghadheeswar
Haller, Nairmeen
Ciltea, Daniela
A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II
title A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II
title_full A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II
title_fullStr A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II
title_full_unstemmed A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II
title_short A Diagnostic Conundrum of Distributive Shock: Autoimmune Polyglandular Syndrome Type II
title_sort diagnostic conundrum of distributive shock: autoimmune polyglandular syndrome type ii
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970207/
https://www.ncbi.nlm.nih.gov/pubmed/31988549
http://dx.doi.org/10.5005/jp-journals-10071-23297
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