0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Diabetes Mellitus, Hashimoto's Thyroiditis, and Juvenile Rheumatoid Arthritis

MARTIN FISHER, MD; MICHAEL NUSSBAUM, MD; CYRIL A. L. ABRAMS, MD; I. RONALD SHENKER, MD
Am J Dis Child. 1980;134(1):93-94. doi:10.1001/archpedi.1980.02130130075029.
Text Size: A A A
Published online

Sir.—We read with interest the report of Collen et al that detailed a case of primary ovarian failure, juvenile rheumatoid arthritis (JRA), and vitiligo (Journal 133:598-600, 1979). We, too, have studied a patient with JRA and an autoimmune polyendocrinopathy.

Report of a Case.—A 15-year-old girl with chronic eczema had insulin-dependent diabetes mellitus (DM) at age 6 years, euthyroid goiter at age 9 years, and debilitating polyarticular JRA with subcutaneous nodules at age 12 years. There was a family history of DM and goiter in the mother and the maternal relatives. After therapy with thyroid and gold, the goiter regressed and the arthritis improved.

Laboratory tests performed at age 13 years showed the following levels: fasting blood glucose, 208 mg/dL; urinalysis, 4 + for glucose, negative acetone, and protein; sedimentation rate, 33 mm/min; VDRL, negative; antinuclear antibody, 1:32, 768; rheumatoid factor, 1:640; antiextractable nuclear antigen, negative; anti-DNA, 27% (normal,

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();