Table 1.
Hormonal evaluation.
Initial screening Jul 2013 | Repeat screening Nov 2018 | Jan 2019 | Jun 2019 (1 month postoperative) | |
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AM cortisol with 1 mg overnight DST | 1.2 mcg/dL | 7.3 mcg/dL | 11.4 mcg/dL | 0.4 mcg/dL |
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Late-night salivary cortisol at 0300 (0–0.090 mcg/dL) | 0.175 mcg/dL, 0.173 mcg/dL, 0.097 mcg/dL | |||
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24 hr urinary cortisol (36–137 mcg/24 hr) | 89.0 mcg/24 hr | |||
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Adrenocorticotrophic hormone (ACTH) (6.00–50 pg/mL) | 45.62 pg/mL | |||
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24 hr urinary metanephrines (74–297 mcg/24 hr) | 505 mcg/24 hr | 864 mcg/24 hr | ||
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24 hr urinary normetanephrine (105–354 mcg/24 hr) | 434 mcg/24 hr | 690 mcg/24 hr | ||
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24 hr urinary metanephrines, total (179–651 mcg/24 hr) | 939 mcg/24 hr | 1554 mcg/24 hr | ||
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Plasma-free metanephrine (0–62 pg/mL) | — | 403 pg/mL | 199 pg/mL | 35 pg/mL |
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Plasma-free normetanephrine (0–145 pg/mL) | — | 482 pg/mL | 176 pg/mL | 189 pg/mL |
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Plasma renin (0.25–5.82 ng/mL/h) | 1.77 ng/mL/h | 1.121 ng/mL/h | — | — |
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Plasma aldosterone (0–30 ng/dL) | 13 ng/dL | 10.6 ng/dL | — | — |