Autoimmune polyglandular syndromes (APS) are rare disorders characterized by auto-destruction of endocrine and non-endocrine organs by organ-specific antibody-directed T-lymphocytic infiltration. This case highlights a 29-year-old Caucasian man with vitiligo found to have significant neurological abnormalities in the setting of newly diagnosed pernicious anemia and thyroid autoimmune disease.
Keywords: autoimmune polyglandular syndrome; cobalamin deficiency; pernicious anemia; subacute combined degeneration; thyroid autoimmune disease; vitamin B12 deficiency.
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