Polyglandular Syndrome Type II is defined as autoimmune thyroid disease with two other endocrine disorders. This disorder is also known as Schmidt Syndrome and is caused by an autoimmune process. It is characterized by the presence of at least two of the following three conditions: primary adrenal insufficiency, hypoparathyroidism, and autoimmune thyroid disease. Additionally, it is also associated with other autoimmune diseases such as vitiligo, pernicious anemia, and diabetes mellitus.
Symptoms of Polyglandular Syndrome Type II
The symptoms of Polyglandular Syndrome Type II depend on the type of endocrine disorder that is present. People with primary adrenal insufficiency may experience fatigue, muscle weakness, weight loss, low blood pressure, and darkening of the skin. Hypoparathyroidism may cause tingling and numbness of the fingers and toes, muscle cramps, and seizures. Autoimmune thyroid disease can cause fatigue, weight gain, feeling cold, dry skin, and constipation.
Diagnosis of Polyglandular Syndrome Type II
The diagnosis of Polyglandular Syndrome Type II is made through a combination of clinical history, physical examination, laboratory tests, and imaging studies. Clinical history and physical examination help to identify signs and symptoms of the endocrine disorders. Laboratory tests, such as thyroid-stimulating hormone (TSH) and adrenocorticotropic hormone (ACTH) levels, are used to diagnose primary adrenal insufficiency and hypoparathyroidism. Imaging studies, such as an ultrasound or a CT scan, can identify any structural abnormalities in the glands.
Treatment of Polyglandular Syndrome Type II
The treatment for Polyglandular Syndrome Type II depends on the type of endocrine disorder that is present. For primary adrenal insufficiency, corticosteroid replacement therapy is necessary. For hypoparathyroidism, calcium and vitamin D supplements may be prescribed. For autoimmune thyroid disease, hormone replacement therapy may be necessary. Additionally, other autoimmune diseases associated with Polyglandular Syndrome Type II may require additional treatments as well.