Table 2:
Patient | Year of evaluation | Post 1-mg DST cortisol (nmol/L) | Baseline ACTH (pmol/L) | Baseline DHEA-S (nmol/L) | 24-hour UFC (nmol/day) | Histopathology | Postoperative adrenal insufficiency |
---|---|---|---|---|---|---|---|
1 | 2003 | 66 | - | - | - | - | - |
2 | 2011 | 69 | - | - | - | Pseudocyst (hemorrhagic) | No |
3 | 2012 | 85.5 | - | - | 14.1 | Pseudocyst (hemorrhagic) | No |
4 | 2017 | 143.5 | 2.9 | 4855.5 | 151.8 | Endothelial cyst | Yes |
5* | 2021 | 149 | <1.1 | 184.8 | - | Pseudocyst (hemorrhagic) | Yes |
Abbreviations used: . ACTH = adrenocorticotrophic hormone or corticotropin. DHEA-S = dehydroepiandrosterone sulfate. DST = dexamethasone suppression test; UFC, urinary free cortisol.
Reference range – Baseline ACTH 1.6–13.9 pmol/L. DHEA-S 1793–9214.4 nmol/L. Post DST cortisol ≤50 nmol/L. Urine free cortisol 9.7–127.2nmol/day
Patient on long-term prednisone therapy for rheumatoid arthritis and polymyalgia rheumatica