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Polyglandular autoimmune syndrome accompanied by Munchausen syndrome

symptoms of a chronic illness.1 With this condition either a healthy person will present as if chronically ill or a person with an actual problem will risk a faulty interpretation of the clinical outcome. We present a patient diagnosed originally with polyglandular autoimmune syndrome (PGAS), with selective immunoglobulin (Ig)A deficiency who afterwards became complicated with Munchausen syndrome.