Baranski Lamback E, Morandi G, Rapti E, Christov G, Brogan PA, Hindmarsh P. Addison's disease presenting with perimyocarditis.
J Pediatr Endocrinol Metab 2018;
31:101-105. [PMID:
29252198 DOI:
10.1515/jpem-2017-0278]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 10/25/2017] [Indexed: 11/15/2022]
Abstract
BACKGROUND
Polyglandular autoimmune syndrome (PGA) and eosinophilic granulomatosis with polyangiitis (EGPA) do not seem to represent a coincidental association.
CASE PRESENTATION
A case of a 15-year-old boy is reported who presented with severe systemic inflammation, perimyocarditis and cardiogenic shock, in whom EGPA was initially suspected and later diagnosed with autoimmune adrenalitis with PGA.
CONCLUSIONS
The severity of the systemic inflammation and perimyocarditis suggests a more widespread autoimmune-mediated process. Autoimmune adrenal insufficiency should be considered in all cases of pericarditis and perimyocarditis, especially when the severity of clinical manifestations exceeds the expected for the severity of the cardiac findings, as timely identification and prompt treatment may be life-saving.
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