178 endo polyautoimmune syndromes Flashcards
1
Q
autoimmune polyglandular syndromes - what should be given first?
A
cortisol
then thyroid hormones
2
Q
APS1
A
AR; autoimmune regulator AIRE gene -> regulates T cell self tolerance during thymic development via expressing tissue-specific antigens
present < 5 years old
chronic candidiiasis –> mucous
chronic hypoPT
autoimmune Adrenal insufficiency
3
Q
APS2
A
multigenetic
autoimmune adrenal insufficiency
Autoimmune thyroid disease +/- DM1
Stiff man sydnrome - rigidity and alopecia
4
Q
APS3
A
thyroid autoimmune disease + others (DM1, pernicious anemia, vilitigo) but not AI, hypoPT, candidiasis
5
Q
what causes APS?
A
autoreactive t cells
6
Q
IPEX rx
A
bone marrow transplant