The spectrum of autoimmune thyroid disease in children includes
euthyroid goiter, hypothyroid goiter, Graves disease, hashitoxicosis,
nodular goiter, thyroid antigen-antibody nephritis, and multiple
endocrine deficiency disease.11-13 The last includes
diabetes mellitus, adrenal insufficiency, hypoparathyroidism, moniliasis,
and, less commonly, pernicious anemia and thrombocytopenia. The
most common clinical association is Hashimoto thyroiditis and diabetes
mellitus with or without adrenal cortical insufficiency (Schmidt
syndrome).