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Rapid onset childhood cataracts leading to the diagnosis of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy

Lookup NU author(s): Dr Karen Adamson, Professor Simon Pearce


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PURPOSE: To report a case of bilateral cataracts in a child that led to diagnosis of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy. DESIGN: Observational case report. METHODS: A 12-year-old boy was being investigated for weakness, lethargy, short stature, and blurred vision. He developed bilateral, dense cataracts over a 2-week period. He was found to be hypocalcemic and diagnosed with hypoparathyroidism and autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy. RESULTS: Because of hypoparathyroidism, adrenocortical failure, and insulin-dependent diabetes, it was 9 months before the patient's metabolic imbalance was brought under sufficient control to allow cataract surgery. CONCLUSION: Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy should be considered with diagnoses of hypocalcemic cataract. © 2003 by Elsevier Inc. All rights reserved.

Publication metadata

Author(s): Rajendram R, Deane JA, Barnes M, Swift PGF, Adamson K, Pearce S, Woodruff G

Publication type: Article

Publication status: Published

Journal: American Journal of Ophthalmology

Year: 2003

Volume: 136

Issue: 5

Pages: 951-952

ISSN (print): 0002-9394

ISSN (electronic): 1879-1891

Publisher: Elsevier


DOI: 10.1016/S0002-9394(03)00479-3

PubMed id: 14597064


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