Table 2.
Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Endocrinological parameters | |||
Prolactin | |||
IGF-1 | 42 ng/mL | 45.25 ng/mL | 18.35 ng/mL |
IGFBP-3 | 52 (−2.8 SDS) | 8.0 ng/mL (−3.6 SDS) | |
TSH | 3,460 (−3.7 SDS) | 2,000 ng/mL (−0.33 SDS) | |
fT4 | 8.20 μ1u/mL | 3.07 μ1u/mL | 0.73 μ1u/mL |
ACTH | 9.2 pmol/L | 19.45 pmol/L | 13.54 pmol/L |
Plasma Cortizol | 57.94 pg/mL | 33.4 pg/mL | 9.54 pg/mL |
LH | 18.77 μg/dL | 15.08 μg/dL | 32.06 μg/dL |
FSH | <0.1 mIU/mL | <0.1 mIU/mL | <0.2 mIU/mL |
DHEAS | 1.03 mIU/mL | <0.3 mIU/mL | 0.57 mIU/mL |
Testosterone | |||
17-OH Progesterone | <0.1 ng/dL | ||
Estradiol | 0.75 ng/mL 29.21 pg/mL | ||
Pituitary magnetic resonance imaging (MRI) | Normal | Normal | Normal |
Cranial MRI | Cerebral atrophy, ventricular enlargement | Normal | White matter posterior diffusion restriction, Focal atrophy compatible with old ischemia in left-back parietal (MR spectroscopy: Normal) |
Echocardiography | Normal (Holter: Normal) | Concentric hypertrophy of the left ventricle | Normal |
PHOX2B mutation | PHOX2B (–) | Unknown | Unknown |
SNRPN (15q11–q13) mutation | SNRPN Unknown |
Parameters in bold are pathological.