Autoimmune Polyglandular Syndrome Type 3 with Anorexia

Table 1

Laboratory data on admission.

		Reference range
Cell blood count
White blood cells	2.5 × 10^3/μL	4.0–9.0 × 10^3
Neutrophils	56.2%	34.6–71.4
Eosinophils	0.4%	0–7.8
Lymphocytes	39.8%	19.6–52.7
Monocytes	3.6%	2.4–11.8
Red blood cells	2.11 × 10^6/μL	4.1–5.3 × 10^6
Hemoglobin	9.3 g/dL	14.0–18.0
Hematocrit	26.5%	35.0–48.0
Mean corpuscular volume	125.6 fL	85.0–97.0
Mean corpuscular hemoglobin	44.1 pg	28.0–34.0
Mean corpuscular hemoglobin concentration	35.1%	32.0–36.0
Platelets	289 × 10^3/μL	150–350 × 10^3
Reticulocytes	29.7 × 10^3/μL	36.0–104.0 × 10^3
Blood chemistry
Total protein	6.8 g/dL	6.7–8.3
Aspartate aminotransferase	44 IU/L	12–31
Alanine aminotransferase	41 IU/L	8–40
Alkaline phosphatase	240 IU/L	100–330
Lactate dehydrogenase	719 IU/L	110–210
γ-Glutamyl transpeptidase	27 IU/L	9–49
Creatine kinase	23 IU/L	65–275
Total bilirubin	3.2 mg/dL	0.2–1.2
Indirect bilirubin	3 mg/dL	0–0.8
Total cholesterol	107 mg/dL	150–220
Triglyceride	124 mg/dL	30–150
Blood urea nitrogen	20 mg/dL	8–22
Creatinine	0.6 mg/dL	0.6–1.1
Uric acid	3.3 mg/dL	3.0–7.0
Sodium	135 mEq/L	138–146
Potassium	4.3 mEq/L	3.6–4.9
Chloride	101 mEq/L	99–109
Calcium	9.1 mg/dL	8.7–11.0
Phosphorus	3.4 mg/dL	2.5–4.5
Iron	196 μg/dL	54–181
Ferritin	220.5 ng/mL	21.8–274.7
Haptoglobin	1.0 mg/dL	19–170
Cobalamin	66 pg/mL	233–914
Folic acid	19.4 ng/mL	3.6–12.9
Antinuclear antibody	×80 (Homogeneous, speckled)
Anti-intrinsic factor autoantibody	(+)
Diabetes Mellitus
Fasting plasma glucose	126 mg/dL	70–109
Hemoglobin A1c (NGSP)	6.6%	4.6–6.2
C-peptide	2.0 ng/mL	0.8–2.5
Urinary excretion of C-peptide	61.0 μg/day	22.8–155.2
Urinary excretion of albumin	63.0 mg/g-Cr	0–24.6
GAD autoantibody	15,000 U/mL	0–1.4
IA-2 antibody	<0.4 U/mL	0–0.4
Islet cell antibody	(+)
Thyroid hormone
Thyrotropin	0.81 μIU/mL	0.35–4.94
Free triiodothyronine	3.0 pg/mL	1.7–3.7
Free thyroxine	1.2 ng/dL	0.7–1.5
Thyroglobulin	2.9 ng/mL	0–32.7
Antithyroglobulin antibody	2.3 U/mL	<0.3
Antithyroid peroxidase antibody	21.1 U/mL	<0.3
Thyrotropin receptor antibody	<1.0 IU/L	<1.0
Adrenal hormone
Adrenocorticotropic hormone	16.2 pg/mL	7.2–63.3
Cortisol	10.0 μg/dL	4.5–21.1
Urinary excretion of cortisol	150.0 μg/day	26.0–187.0
Antiadrenal autoantibodies	(−)
Antipituitary autoantibodies	(−)