Thyroid Research and Practice

CASE REPORT
Year
: 2015  |  Volume : 12  |  Issue : 3  |  Page : 116--118

Levothyroxine replacement before glucocorticoid replacement leading to adrenal crisis in a case of autoimmune polyendocrine syndrome type II (Schmidt syndrome)


Om J Lakhani, Sudhir Tripathi, KC Indu, Mitali Desai 
 Department of Endocrinology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Om J Lakhani
Room - 1407, Endocrinology Office, 4th Floor, Sir Ganga Ram Hospital, New Delhi - 110 060
India

Autoimmune polyendocrine syndrome II (APS II) is defined as Primary adrenal insufficiency with Autoimmune hypothyroidism and/or Type 1 Diabetes. Hypothyroidism is commonly diagnosed but adrenal insufficiency often gets missed out. Levothyroxine replacement before glucocorticoid replacement in a patient APS II can lead to precipitation of adrenal crisis. We report a case of Autoimmune polyendocrine syndrome type II (Schmidt syndrome) who presented to us in adrenal crisis after having started on Levothyroxine without glucocorticoid replacement.


How to cite this article:
Lakhani OJ, Tripathi S, Indu K C, Desai M. Levothyroxine replacement before glucocorticoid replacement leading to adrenal crisis in a case of autoimmune polyendocrine syndrome type II (Schmidt syndrome).Thyroid Res Pract 2015;12:116-118


How to cite this URL:
Lakhani OJ, Tripathi S, Indu K C, Desai M. Levothyroxine replacement before glucocorticoid replacement leading to adrenal crisis in a case of autoimmune polyendocrine syndrome type II (Schmidt syndrome). Thyroid Res Pract [serial online] 2015 [cited 2019 Nov 18 ];12:116-118
Available from: http://www.thetrp.net/article.asp?issn=0973-0354;year=2015;volume=12;issue=3;spage=116;epage=118;aulast=Lakhani;type=0