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Journal of Case Reports
Schmidt Syndrome Presenting as Primary Infertility

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Kandan Balamurugesan, Stalin Viswanathan
Department of General Medicine, Indira Gandhi Medical College & RI, Kathirkamam, Pondicherry- 605009, India.
Corresponding Author:
Dr. Stalin Viswanathan
Email: stalinviswanathan@ymail.com
Received: 13-MAR-2015 Accepted: 07-DEC-2015 Published Online: 05-JAN-2016
DOI: http://dx.doi.org/10.17659/01.2016.0002
Abstract
Autoimmune polyendocrine syndrome is a rare syndrome with Addison’s disease and thyroiditis as its major components, with the former mandatory for diagnosis. We report a 27 year old woman with primary infertility who had subclinical hypothyroidism, normal LH/FSH and elevated prolactin. Following thyroxine supplementation, she developed adrenal crisis. Investigations revealed Addison’s disease, autoimmune thyroiditis and ANA positivity. She did well with prednisolone and thyroxine supplementation, but was lost to follow-up.
Keywords : Addison Disease, Hashimoto Disease, Hypothyroidism, Infertility, Thyroiditis.
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