@Article{Badeński2022,
journal="Pediatria Polska - Polish Journal of Paediatrics",
issn="0031-3939",
volume="97",
number="2",
year="2022",
title="Autoimmune polyglandular syndrome type 2 in an 15-year-old boy",
abstract="Autoimmune polyendocrine syndromes (APS) include a diverse group of clinical conditions, characterized by functional impairment of many endocrine glands. Type 2 APS is characterized by the mandatory presence of Addison’s disease, which may be associated with either autoimmune thyroid diseases as a Schmidt’s syndrome or type 1 diabetes mellitus as a Carpenter syndrome.  The described patient with well-controlled diabetes mellitus type 1, presented with sudden, frequent episodes of hypoglycemia, daytime somnolence and weariness, as well as remarkable hyperpigmentation of the skin. Laboratory tests revealed adrenal insufficiency with a positive titer of anti-adrenal antibodies, which led to APS-2 diagnosis in the presented case.  As the clinical outcome at the early onset of the APS-2 is not distinctive, the authors would like to emphasize the significance of screening methods, especially in patients with other hormone abnormalities, to protect them from the consequences of life-threatening disturbances.",
author="Badeński, Andrzej
and Badeńska, Marta
and Mierzwa, Magdalena
and Stojewska, Małgorzata
and Deja, Grażyna
and Szczepańska, Maria
and Ziora, Katarzyna",
pages="151--155",
doi="10.5114/polp.2022.116075",
url="http://dx.doi.org/10.5114/polp.2022.116075"
}