Figure 1. An MRI of the brain at the time of presentation. Coronal T2-weighted images. (a) Case 1. (b) Case 2.
| Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
| Journal website http://www.jofem.org |
Case Report
Volume 6, Number 5, October 2016, pages 154-157
The Caveats of Corticotropin Stimulation Test in Diagnosing Secondary Adrenal Insufficiency: Case Reports and Literature Review
Figure
Table
| Normal range | Case 1 | Case 2 | |||
|---|---|---|---|---|---|
| Preoperative | 3 months postoperative | Preoperative | 3 months postoperative | ||
| AM: morning sample from 6 a.m. to 10 a.m. | |||||
| ACTH (pg/mL) | 7 - 63 | 33.0 | n/a | n/a | 16.0 |
| Cortisol (μg/dL) | AM: 6.2 - 19.4 random: 2.3 - 19.4 | 7.4 (random) | 8.2 (AM) | n/a | 6.0 (AM) |
| TSH (μIU/mL) | 0.27 - 4.2 | 1.63 | 1.76 | 6.19 | 4.54 |
| Free T4 (ng/dL) | 0.9 - 1.7 | 0.7 | 1.0 | 0.8 | 0.72 |
| IGF-1 (ng/mL) | Case 1: 60 - 220 Case 2: 68 - 245 | 162 | 124 | 237 | 63 |
| Total testosterone (ng/dL) | 193 - 740 | 107 (morning) | 32 (morning) | 9 (random) | n/a |
| LH (mIU/mL) | 1.7 - 8.6 | 1.6 | 2.1 | 2.1 | 1.7 |
| Prolactin (ng/mL) | 4.0 - 15.2 | 19.9 | 13.8 | 1.7 | 1.1 |