Table 1.
Hormone, hormone-binding globulin, and immunoglobulin levels of the described patient at the indicated time points after first admission to our hospital due to a systemic capillary leak attack. For comparison, commonly observed hormonal changes in critically ill patients are shown.
Parameter | kDa | Range | Day 2 | Day 12 | Day 23 | Week 8 | Week 11 | Week 18 | Month 10 | Critical illness (acute) | Critical illness (prolonged) |
---|---|---|---|---|---|---|---|---|---|---|---|
IgG (µmol/L) | 144 | 55.5–125 | 46.9 | — | 83.3 | 109.9 | — | 52.4 | 49 | ||
IgA (µmol/L) | 160 | 5.6–28 | 2.4 | — | 4.1 | 4.8 | — | 3.9 | 4.3 | ||
IgM (µmol/L) | 971 | 0.6–2.6 | 0.4 | — | 0.7 | 0.8 | — | 0.5 | 0.6 | ||
TSH (mU/L) | 28 | 0.3–4 | 6.1 | — | — | — | 2.01 | 2.03 | 2.41 | → (↓) | ↓ |
fT3 (pmol/L) | 0.65 | 3.5–6.6 | 5.8 | — | — | — | — | — | 6.1 | ↓ | ↓ |
fT4 (pmol/L) | 0.8 | 10.3–24.5 | 13.7 | — | — | — | — | — | 17.4 | → (↓) | → (↓) |
LH (U/L) | 24 | 1.2–8 | 13.5 | — | 13.8 | — | — | — | 7.4 | ↑ | ↓ |
FSH (U/L) | 32 | 1–9 | 14.4 | — | 15.0 | — | — | — | 15.3 | → (↑) | ↓ |
ACTH (pmol/L) | 4.5 | 2.2–15.4 | 5.5 | — | — | — | 17.8 | 16.1 | 21.6 | ↑ | ↓ |
hGH (nmol/L) | 22 | 0–360 | 16.3 | — | — | — | — | — | 47 | ↑ | (↑) |
IGF-1 (nmol/L) | 7.6 | 9.2–38 | 12.9 | — | — | — | — | — | 25 | ↓ | ↓ |
Prolactin (mU/L) | 22.9 | 30–350 | 261 | — | — | — | — | — | — | ↑ | (↓) |
Testosterone (nmol/L) | 0.29 | 12–35 | 3.8 | — | 14.3 | — | 10.8 | 10.0 | 14 | ↓ | ↓ |
Free androgen index (%) | — | >22 | 5.2 | — | 17.7 | — | 17.2 | 12.4 | 30 | ↓ | ↓ |
Cortisol after ACTH stimulation (nmol/L) | 0.36 | 635–1560 | 333.8 | — | 460.7 | 474.5 | 430.4 | — | 422 | ↑↑ | ↑↑ |
DHEAS (µmol/L) | 0.37 | 0.95–11.7 | 0.54 | — | — | 1.63 | — | 1.64 | — | ↓ | ↓↓ |
Transcortin (µmol/L) | 52 | 0.8–1.1 | — | 0.6 | 0.8 | 0.7 | — | — | — | ↓ | ↓ |
TBG (nmol/L) | 54 | 260–500 | — | — | 250 | 330 | — | — | — | ↓ | ↓ |
SHBG (nmol/L) | 86 | 10–50 | 70.5 | — | 81.3 | — | 58.2 | 58.3 | 47 | ↓ | ↓ |
Aldosterone (pmol/L) | 0.36 | 55–416 | — | 368 | 512 | 867 | — | 304 | 450 | →↑ | |
Plasma renin (mU/L) | 42 | — | 309 | 245 | 1250 | — | 137 | 202 | ↑↑ |