Association of pelvic endometriosis with alopecia universalis, autoimmune thyroiditis and multiple sclerosis

C. Alviggi, P. B. Carrieri, R. Pivonello, V. Scarano, M. Pezzella, G. De Placido, A. Colao, G. Matarese

Research output: Contribution to journalArticlepeer-review

Abstract

An adult Caucasian female developed a previously unreported association of pelvic endometriosis (PE) with the triad of alopecia universalis (AU), autoimmune thyroiditis (AT) and multiple sclerosis (MS). Molecular human leukocyte antigen (HLA)-tissue typing of this subject showed the presence of the DR(2) 15 and DR(3) 17 alleles, which are associated to an increased risk of MS and AT, respectively. Clinical onset of AT followed withdrawal of corticosteroid treatment for AU, whereas MS become clinically evident after withdrawal from long-term estroprogestin therapy for PE. This clinical case is presented to discuss the autoimmune origin of PE, its possible association with multiple autoimmune disorders as well as the effect of other factors, such as administration and/or discontinuation of specific hormonal regimens, on genetic autoimmunity-prone background.

Original languageEnglish
Pages (from-to)182-189
Number of pages8
JournalJournal of Endocrinological Investigation
Volume29
Issue number2
Publication statusPublished - Feb 2006

Keywords

  • Alopecia universalis
  • Autoimmune diseases
  • Autoimmune thyroiditis
  • Corticosteroids
  • HLA
  • Multiple sclerosis
  • Oestroprogestinic
  • Pelvic endometriosis

ASJC Scopus subject areas

  • Endocrinology

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