Rarely seen autoimmune polyglandular syndrome; Type 3B complicated with celiac disease

Autoimmune polyglandular syndrome (APS) is a combination of different autoimmune diseases. APS type 3 is defined by the presence of autoimmune thyroid disease (ATD) without Addison’s disease and at least one autoimmune disease such as type 1 diabetes mellitus (type 3A), chronic atrophic gastritis, pernicious anemia,autoimmune hepatitis or celiac disease (type 3B), vitiligo, alopecia, myasthenia gravis (type 3C), autoimmune rheumatic disorders, vasculitis (type 3D). Celiac disease (CD) is an immune-mediated disease with a strong genetic influence. Type 1 diabetes mellitus (T1DM) and ATD are well established and people suffering from these two diseases are considered at high risk of developing CD. Here we present a rarely seen case of a 32-year-old woman with T1 DM and ATD complicated with CD, which is defined APS type 3B