[Polyglandular autoimmune syndrome]

Polyglandular autoimmune syndrome (PGA's) are defined as the coexistence of one or several primary endocrine gland autoimmune insufficiencies, possibly associated with other immunological pathologies. We present the case of a female patient suffering from a primary thyroid failure associated with Biermer anemia and hypophysitis with secondary adrenal insufficiency. We then describe the PGA's, focusing on their interest to the pediatrician, internist, and primary case physician. The three types of polyglandular syndromes, types I and II with adrenal insufficiency, and type III without it, are discussed. (Classification of Neufeld et al.).