Table 2.
The prevalence of individual routine clinicopathological features of both hypoadrenocorticism and ‘atypical’ hypoadrenocorticism compiling data from the most relevant case series [14, 18, 25, 26, 28, 29, 37, 38, 42, 46, 66]. In most cases of primary hypoadrenocorticism, mineralocorticoid deficiency was presumed because of associated electrolyte abnormalities. In most cases of ‘atypical’ hypoadrenocorticism, electrolyte abnormalities were not present and while glucocorticoid deficiency was confirmed, mineralocorticoid production was not usually evaluated. Secondary hypoadrenocorticism was confirmed in only a small number of these cases but included two cases with hyponatraemia
Abnormality | Hypoadrenocorticism | “Atypical” hypoadrenocorticism | ||
---|---|---|---|---|
No. affected (No. evaluated) | % | No. affected (No. evaluated) | % | |
Haematology | ||||
Anaemia | 130 (507) | 27.0 | 23 (68) | 33.8 |
Neutrophilia | 82 (334) | 24.5 | 16 (68) | 23.5 |
Eosinophilia | 81 (441) | 18.4 | 13 (66) | 19.7 |
Relative erythrocytosis | 64 (369) | 17.3 | 0 (68) | 0 |
Lymphocytosis | 38 (367) | 10.4 | 14 (68) | 20.6 |
Biochemistry | ||||
Hyperkalaemia | 467 (535) | 87.2 | 0 (78) | 0 |
Increased urea | 386 (472) | 81.7 | 11 (67) | 16.4 |
Hyponatraemia | 427 (533) | 80.1 | 2 (78) | 2.6 |
Increased creatinine | 241 (363) | 66.4 | 4 (18) | 22.2 |
Hyperphosphataemia | 273 (468) | 58.3 | 0 (68) | 0 |
Increased ALT | 85 (257) | 33.1 | 14 (65) | 21.5 |
Increased AST | 83 (260) | 31.9 | 16 (41) | 39 |
Increased ALP | 79 (260) | 30.4 | 6 (65) | 9.2 |
Hypercalcaemia | 144 (492) | 29.3 | 1 (18) | 5.5 |
Hypoglycaemia | 88 (553) | 15.9 | 21 (67) | 31.3 |
Hypocholesterolaemia | 42 (322) | 13.0 | 45 (62) | 72.5 |
Hypoalbuminaemia | 37 (359) | 10.3 | 49 (66) | 74.2 |
Urinalysis (hypoadrenocorticism only) | Mean | Range | Azotaemia and USG < 1.030 | % |
Urine specific gravity | 1.023 | 1.004–1.055 | 112 (193) | 58 |
No. Number; ALT Alanine aminotransferase; ALP Alkaline phosphatase; AST Aspartate aminotransferase; USG Urine specific gravity