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. 2022 May 3;9:6. doi: 10.1186/s40575-022-00119-4

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