{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:10:01Z","timestamp":1756375801301,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>The clinical and instrumental findings revealed a case of autoimmune polyendocrine syndrome (APS) type 3B+C in a 41-year-old Caucasian woman with unexplained refractory iron-deficiency anaemia secondary to autoimmune atrophic gastritis and a long-term history of two different autoimmune diseases\u2014Hashimoto's disease and vitiligo. Indeed the occurrence in the same patient of three or more autoimmune diseases defines APS. The first classification of APS was suggested by Neufeld and Blizzard in 1980 and it included four main types of APS on the basis of clinical features. The only case of APS type 3B+C was described by Amerio <jats:italic>et al<\/jats:italic> in 2006.<\/jats:p>","DOI":"10.1136\/bcr.11.2009.2426","type":"journal-article","created":{"date-parts":[[2010,8,19]],"date-time":"2010-08-19T12:19:53Z","timestamp":1282220393000},"page":"bcr1120092426","source":"Crossref","is-referenced-by-count":2,"title":["Unexplained refractory iron-deficiency anaemia in a 41-year-old woman"],"prefix":"10.1136","volume":"2010","author":[{"given":"N","family":"de Matthaeis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G L","family":"Rapaccini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Riccardi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Pugliese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,8,19]]},"reference":[{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.1","first-page":"499","article-title":"[Iron deficiency anemia]","volume":"66","author":"Kanamaru","year":"2008","journal-title":"Nippon Rinsho"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.2","doi-asserted-by":"publisher","DOI":"10.1373\/49.10.1573"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.3","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-40-2-211"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-007-0878-0"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.5","doi-asserted-by":"publisher","DOI":"10.3109\/00365529709025083"},{"issue":"3","key":"2025082802362367000_2010.aug17_1.bcr1120092426.6","first-page":"766","article-title":"High prevalence of atrophic body gastritis in patients with unexplained microcytic and macrocytic anemia: a prospective screening study","volume":"94","author":"Marignani","year":"1999","journal-title":"Am J Gastroenterol"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(01)00883-X"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.8","unstructured":"Neufeld M Blizzard RM . Polyglandular autoimmune disease. In: Pinchera A Doniach D Fenzi GF Baschieri L , eds. Symposium on autoimmune aspects endocrine disorders. New York, USA: Academic Press, 1980:357\u201365."},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199006283222601"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.10","first-page":"9","article-title":"Update on autoimmune polyendocrine syndromes (APS)","volume":"74","author":"Betterle","year":"2003","journal-title":"Acta Biomed"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2006.02171.x"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103013440907"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.13","doi-asserted-by":"publisher","DOI":"10.1016\/S1590-8658(03)00067-7"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.14","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2007-2134"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.15","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.03.038"},{"key":"2025082802362367000_2010.aug17_1.bcr1120092426.16","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.6.1387"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.11.2009.2426","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:36:35Z","timestamp":1756373795000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.11.2009.2426"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":16,"alternative-id":["10.1136\/bcr.11.2009.2426"],"URL":"https:\/\/doi.org\/10.1136\/bcr.11.2009.2426","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2010]]}}}