To the Editor: The occurrence of multiple organ-specific autoimmunedisorders in the same patient has been well recognized.1 Becauseof improved assays for adrenal autoantibodies, we recently institutedroutine testing of patients with insulin-dependent diabetesmellitus (IDDM) for antibodies against 21-hydroxylase, usingthe radioassay described by Falorni and coworkers.2
In 11 of 629 patients with IDDM (age, 11 to 40 years) but noneof 239 normal subjects, serum samples were positive for 21-hydroxylaseantibodies. Among the 11 patients with positive tests, 2 brotherswere found to have adrenal insufficiency and 1 patient was antibody-positiveat the time of the initial . . . [Full Text of this Article]
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