UNASSIGNED: We describe a case of a 47-year-old male patient presenting with weakness, difficulty swallowing (mainly liquids) and dysarthria. He was discovered to have low cortisol and TSH levels with high T4 and T3. These findings lead to the suspicion of a more complex disease process and through a thorough research of literature we discovered an association between myasthenia gravis and autoimmune polyglandular syndrome specifically type 2 which fits with our patients\' presentation.
UNASSIGNED: In any autoimmune disease, it is important to keep in mind associations and susceptibilities to other autoimmune processes and syndromes in order to reach a correct diagnosis and treatment preventing life threating events.
我们描述了一例47岁的男性患者,表现为虚弱,吞咽困难(主要是液体)和构音障碍。他被发现皮质醇和TSH水平低,T4和T3高。这些发现导致对更复杂的疾病过程的怀疑,并且通过对文献的深入研究,我们发现重症肌无力与自身免疫性多腺综合征之间的关联,特别是2型,与我们的患者表现相符。
■在任何自身免疫性疾病中,重要的是要牢记与其他自身免疫过程和综合征的关联和敏感性,以达到正确的诊断和治疗预防生命威胁事件。