Friday, October 18, 2013

Autoimmune Polyglandular Syndromes, APS(多腺體型自免疫症候群)

症狀/併發症(symptom/complication)
@type I
@@Mucocutaneous Candidasis: easily infection, 73~100%
@@Chronic Active Hepatitis
@@Malabsorption
@@Oral Squamous Cell Carcinoma
@@Alopecia
@@Vitiligo
@@Nail Dystrophy
@@pernicious anemia
@@gonadal failure:30~60%
@@hypoparathyroidism(副甲狀腺機能低下):77~89%
@@primary adrenocortical insufficiency(原發性腎上腺皮質機能低下症)=Addison's disease :60~86%
@type II
@@primary adrenocortical insufficiency(原發性腎上腺皮質機能低下症)=Addison's disease:70~100%
@@type I diabetes mellitus(第一型糖尿病):41~52%
@@Autoimmune adrenal insufficiency
@@Type 1 DM
@@Celiac Disease
@@Dermatitis Herpetiformis
@@Alopecia
@@Vitiligo: 20~40% combined with thyroid and digestive problem
@@idiopathic thrombocytopenic purpura
@@Serositis(漿膜炎)
病因(etiology)
|hypofunction of endocrine organs except Graves' disease/Exophthalmic Goitre(突眼性甲狀腺腫)
|sometimes can detect antibodies but be asymptomatic
|genetics
||type I: Autosomal recessive,AIRE 21 chromosome
||type II: Polygenic, HLA DQ2 and DQ8 HLA DRB1*0404
檢查/準則(examination/criteria)

治療(treatment)

鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)
+type I: baby is comon, all cases fall ill before 30 years old
+type II: from children to adults

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