{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T08:07:23Z","timestamp":1748938043545,"version":"3.40.4"},"reference-count":7,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; To report an uncommon presentation of a rare case of autoimmune polyglandular syndrome type IIIb in an elderly woman. &lt;b&gt;&lt;i&gt;Clinical Presentation and Intervention:&lt;\/i&gt;&lt;\/b&gt; A 62-year-old woman presented with anaemic symptoms and jaundice. Blood tests showed macrocytic anaemia due to vitamin B&lt;sub&gt;12&lt;\/sub&gt; deficiency with Coombs negative haemolysis. A thyroid function test was consistent with hypothyroidism. Autoimmune antibody assays were positive for anti-parietal cell, anti-intrinsic factor and anti-thyroid peroxidase antibodies. A final diagnosis of autoimmune thyroiditis with pernicious anaemia, which constituted autoimmune polyglandular syndrome type IIIb, was made and the patient was treated with &lt;smlcap&gt;L&lt;\/smlcap&gt;-thyroxine, vitamin B&lt;sub&gt;12&lt;\/sub&gt; injection and a blood transfusion. She was discharged uneventfully after a week of hospitalization. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; This case showed that the presence of one autoimmune endocrine disease should prompt clinicians to look for other coexisting autoimmune diseases which may be asymptomatic despite positive autoantibodies.<\/jats:p>","DOI":"10.1159\/000357645","type":"journal-article","created":{"date-parts":[[2014,1,7]],"date-time":"2014-01-07T14:14:15Z","timestamp":1389104055000},"page":"387-389","source":"Crossref","is-referenced-by-count":4,"title":["Autoimmune Polyglandular Syndrome Presenting with Jaundice and Thrombocytopenia"],"prefix":"10.1159","volume":"23","author":[{"given":"A.W.","family":"Norasyikin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rozita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.J.","family":"Mohd Johan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Suehazlyn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2014,1,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-09-0044"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.95741"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.4103\/0973-0354.99653"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.42.10.1092"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(85)91727-1"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2002-021845"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(03)00115-3"}],"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/357645","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/357645","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/357645","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:30:01Z","timestamp":1745433001000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000357645"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2014,7,1]]},"published-print":{"date-parts":[[2014,7,18]]}},"URL":"https:\/\/doi.org\/10.1159\/000357645","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"type":"print","value":"1011-7571"},{"type":"electronic","value":"1423-0151"}],"subject":[],"published":{"date-parts":[[2014]]}}}