Autoimmune polyglandular syndrome type 2 with Addison’s disease (APS-2 with AD) is a rare inherited condition that affects the body’s ability to produce hormones. It is an autoimmune condition in which the body’s own immune system mistakenly attacks and destroys the cells of the adrenal glands, which are responsible for producing hormones such as cortisol and aldosterone. Without the proper levels of hormones, the body is unable to properly regulate its metabolism, blood pressure, and other bodily functions.
The main symptom of APS-2 with AD is fatigue. Other symptoms include weight loss, muscle weakness, low blood pressure, darkening of the skin, nausea, vomiting, and diarrhea. People with APS-2 with AD may also experience decreased appetite, abdominal pain, and frequent urination.
The diagnosis of APS-2 with AD is typically made based on a physical examination, medical history, and laboratory tests. A blood test can measure the levels of adrenal hormones in the body, and an imaging test, such as an MRI or CT scan, can be used to identify any abnormalities in the adrenal glands.
Treatment of APS-2 with AD typically involves replacing the hormones that the body is unable to produce. Corticosteroids are usually prescribed to replace cortisol, and aldosterone replacement therapy is used to replace aldosterone. Additionally, treatment may include medications to manage symptoms such as nausea, vomiting, and diarrhea, as well as lifestyle modifications to reduce stress and improve overall health.
It is important to note that APS-2 with AD is a lifelong condition, and people with the condition will need to take medication and make lifestyle changes to manage their symptoms. With proper management, however, people with APS-2 with AD can lead healthy and active lives.