Journal
JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM
Volume 27, Issue 5-6, Pages 545-548Publisher
WALTER DE GRUYTER GMBH
DOI: 10.1515/jpem-2013-0201
Keywords
acute mental status change; adrenal insufficiency stroke; autoimmune polyglandular syndrome type 2
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Funding
- NIDDK of the National Institutes of Health [T32DK065549]
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Primary adrenal insufficiency (AI) in children usually presents with non-specific symptoms such as fatigue, nausea, vomiting, and anorexia. Here, we report an unusual case of a 15 year old girl who presented with acute mental status change and was ultimately diagnosed with AI due to autoimmune polyglandular syndrome type II (APS2). Central nervous system imaging revealed a cerebral infarction. To our knowledge, the constellation of APS2, stroke and acute mental status change has not been previously reported. We review the literature with regard to the presentation of AI as well as the association between vasculitis and APS2.
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