Table 1:
Pt | Age/ Sex |
Phenotype | Glucocorticoid Dose as hydrocortisone a equivalent (mg/day) |
BMI (kg/m2) |
Insulin Resistance b |
Fatty Liver c |
Low BMD d |
GI Intolerance to GC |
TART /PCOS e |
Adrenal mass/ hypertrophy |
Hirsutism i |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 25/M | SW | 40 | 34.8 | + | + | − | + | + | + f | NA |
2 | 38/F | SW | 50 | 39.8 | + | + | − | − | + | + f, g | + |
3 | 32/F | SW | 32.5 | 54.1 | + | + | + | + | + | − | + |
4 | 25/F | SV | 25 | 40.3 | + | − | + | + | + | − | + |
5 | 41/M | SW | 25 | 27.7 | − | − | + | − | + | + f | NA |
Abbreviations: Pt, patient; BMI, body mass index; BMD, bone mineral density; GI, gastrointestinal; GC, glucocorticoid; TART, testicular adrenal rest tissue; PCOS, polycystic ovary syndrome; M, Male; F, Female; SV, simple virilizing; SW, salt-wasting; +, present; −, not present; NA, not applicable.
Glucocorticoid equivalent dose (mg/day): hydrocortisone X 1, prednisone and prednisolone X 5, and dexamethasone X 80 (2)
HOMA-IR > 2.6
AST/ALT <1 or steatosis by ultrasound
DEXA T-score <−1
12 or more follicles 2–9 mm in diameter and/or an increased ovarian volume > 10 mL by ultrasound (9)
Bilateral adrenal hyperplasia
Adrenal adenoma
Hirsutism was defined as a Ferriman-Gallwey total score ≥ 8 (8)