concanavalin-a and Hypogonadism

Five Persian Jews were detected with the polyglandular deficiency syndrome (PDS). Primary hypoparathyroidism and hypogonadism were present in each, adrenal insufficiency in two, and insulin-dependent diabetes mellitus and latent hypothyroidism in single subjects. The percentage of T and B cells, and the mononuclear cell response to phytohemagglutinin and Concanavalin A were normal in all five. IgG and IgA levels and the OKT4+/OKT8+ cell ratio were low in one subject. Antinuclear and antithyroid antibodies were present in one subject. HLA-DR5 was present in 4/4, HLA-24 and B5 (B51) in 3/4 subjects. A single case of isolated hypoparathyroidism (IHP) was detected among 12 first degree relatives. HLA antigens B8, DR3, were absent in all of these subjects. Seven non-Iranian Jews with IHP were also examined. HLA A26 or A25 were present in all seven. Persian Jews appear to have a unique variant of PDS.

Topics: Adolescent; Adrenal Insufficiency; Adult; Antibodies, Antinuclear; B-Lymphocytes; Concanavalin A; Diabetes Mellitus, Type 1; Female; HLA Antigens; Humans; Hypogonadism; Hypoparathyroidism; Hypothyroidism; Immunoglobulin A; Immunoglobulin G; Iran; Jews; Lymphocyte Activation; Male; Monocytes; Phytohemagglutinins; Syndrome; T-Lymphocytes