PMID- 24402023 OWN - NLM STAT- MEDLINE DCOM- 20140616 LR - 20190918 IS - 1677-9487 (Electronic) IS - 0004-2730 (Linking) VI - 57 IP - 9 DP - 2013 Dec TI - The unusual association of Graves' disease, chronic spontaneous urticaria, and premature ovarian failure: report of a case and HLA haplotype characterization. PG - 748-52 LID - S0004-27302013000900013 [pii] AB - Chronic spontaneous urticaria (CSU), defined as the occurrence of spontaneous wheals for more than six weeks, has been associated with autoimmune diseases. Herein, we report the unusual association of CSU, Graves' disease, and premature ovarian failure. Human leukocyte antigen (HLA) studies were performed. A 36-year-old woman presented symptoms and signs of hyperthyroidism for three months. In the same period, the patient complained of widespread urticarial wheals, intensely itchy, and poorly responsive to therapy with antihistaminic agents. Hyperthyroidism was confirmed biochemically, and treatment with methimazole was started. As hyperthyroidism improved, a marked improvement in her urticaria was also observed. However, the patient continued to complain of amenorrhea. Endocrine evaluation, at the age 38, was consistent with premature ovarian failure. This is the first report of coexistence of GD, CSU, and POF. The genetic background of such unusual association is a specific combination of HLA. FAU - Ruggeri, Rosaria Maddalena AU - Ruggeri RM FAU - Vita, Giuseppe AU - Vita G FAU - D'Angelo, Anna Grazia AU - D'Angelo AG FAU - Quattrocchi, Paolina AU - Quattrocchi P FAU - Certo, Rosaria AU - Certo R FAU - Benvenga, Salvatore AU - Benvenga S FAU - Cannavo, Salvatore AU - Cannavo S FAU - Gangemi, Sebastiano AU - Gangemi S LA - eng PT - Case Reports PT - Journal Article PL - Brazil TA - Arq Bras Endocrinol Metabol JT - Arquivos brasileiros de endocrinologia e metabologia JID - 0403437 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Chronic Disease MH - Female MH - Graves Disease/*complications/immunology MH - HLA Antigens/*immunology MH - Haplotypes/*immunology MH - Humans MH - Primary Ovarian Insufficiency/*complications/immunology MH - Time Factors MH - Urticaria/*complications/immunology EDAT- 2014/01/10 06:00 MHDA- 2014/06/17 06:00 CRDT- 2014/01/10 06:00 PHST- 2013/07/11 00:00 [received] PHST- 2013/08/07 00:00 [accepted] PHST- 2014/01/10 06:00 [entrez] PHST- 2014/01/10 06:00 [pubmed] PHST- 2014/06/17 06:00 [medline] AID - S0004-27302013000900013 [pii] AID - 10.1590/s0004-27302013000900013 [doi] PST - ppublish SO - Arq Bras Endocrinol Metabol. 2013 Dec;57(9):748-52. doi: 10.1590/s0004-27302013000900013.