Clinical case discussion: Autoimmune polyglandular syndrome type Ⅲ B+C in the elderly

VernacularTitle:老年自身免疫性多腺体综合征Ⅲ B+C型
Author: Ruihua LI ¹ ; Wenjing JIANG ; Nan ZHANG ; Yan LIN ; Xiang YE ; Lin MA ; Peiyan SHAN
Author Information

1. 山东大学齐鲁医院老年神经内科
Keywords: Autoimmune diseases; Anemia; Vitiligo; Gastritis
From: Chinese Journal of Geriatrics 2019;38(3):304-308
CountryChina
Language:Chinese
Abstract: This report presents an 84 year-old patient admitted into our hospital for dizziness with a history of Hashimoto's thyroiditis,chronic gastritis and vitiligo.Physical examinations showed skin depigmentation.Laboratory tests revealed anemia,positive intrinsic factor antibodies and normal adrenal function.This patient was finally diagnosed with autoimmune polyglandular syndromes(APS) type Ⅲ B +C.Recurrent anemia was mainly attributed to malabsorption caused by autoimmune gastritis.This article reviews the common clinical manifestations of APS,in order to call for geriatricians' attention to APS.APS Ⅲ B+C should be considered if vitiligo combined with anemia occurs in elderly patients.