Schmidt's syndrome presenting as a generalised anxiety disorder: a case report
- PMID: 24868260
- PMCID: PMC4034301
Schmidt's syndrome presenting as a generalised anxiety disorder: a case report
Abstract
Schmidt's syndrome or autoimmune polyglandurar syndrome type 2 represents an uncommon endocrine disorder composed by Addison's disease with autoimmune thyroid disease and/or type 1 diabetes mellitus. The syndrome usually affects women in the fourth decade of their lives. Prompt diagnosis and treatment can prevent serious complications. We present the case of a 64-year-old woman with generalised anxiety, facing socio-economic problems. Her symptoms attributed to stress led to a late diagnosis. Physicians involved have to be aware about endocrine disorders of which first manifestations may have atypical components mimicking mental health problems.
Keywords: Schmidt’s syndrome; autoimmune polyglandurar syndrome type 2; autoimmune thyroiditis; generalized anxiety disorder.
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References
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- Majeroni PA, Patel P. Autoimmune polyglandular syndrome type II. Am Fam Physician. 2007;75:667–677. - PubMed
-
- Schmidt MB. Eine biglandulare Erkrankung (Nebennieren und Schilddruse) bei Morbus Addisonii. Verh Dtsch Ges Pathol. 1926;21:212–221.
-
- American Psychiatric Association, compiler. In: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Revised, Text revision, Washington, DC.: Psychiatric Press, Inc., ; 2000.
-
- Betterle C, Dal Pra C, Zanchetta R. Autoimmune adrenal insufficiency and autoimmune polyendocrine syndromes: autoantibodies, autoantigens and their applicability in diagnosis and disease prediction. Endocr Rev. 2002;23:327–364. - PubMed
-
- Betterle C, Volpato M, Greggio AN. Type 2 polyglandular autoimmune disease (Schmidt’s syndrome). J Pediatr Endocrinol Metab. 1996;9:113–123. - PubMed
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