Shock: A Possible Presenting Manifestation of Autoimmune Polyendocrine Syndrome Type II

A 38-year-old female patient presented with shock and was subsequently diagnosed with Autoimmune Polyendocrine Syndrome Type II (APS II), a rare but most common immunoendocrinopathy syndrome. APS II is characterized by the presence of autoimmune Addison's disease along with thyroid autoimmune diseases and/or Type I diabetes, and may also include conditions such as hypogonadism, hypophysitis, myasthenia gravis, vitiligo, alopecia, pernicious anemia, and celiac disease.