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. 2022 Dec 15;14(5):442–449. doi: 10.1111/1759-7714.14761

TABLE 2.

Clinical characteristics of patients with adrenal insufficiency

Total
n = 10
Clinical symptoms
General fatigue, n (%) 6 (60)
Loss of appetite, n (%) 6 (60)
Loss of body weight, n (%) 2 (20)
Central nervous systems, n (%) 3 (30)
Nausea, n (%) 1 (10)
Fever, n (%) 3 (30)
No symptoms, n (%) 1 (10)
Laboratory findings
Hyponatremia, n (%) 9 (90)
Hypoglycemia, n (%) 2 (20)
Eosinophilia, n (%) 4 (40)
Cycles (range) 7.5 (range 4–14)
Onset time (range), month 8.0 (3.8–15.2)
CTCAE grade (2/3/4), n (%) 1(10)/8(80)/1(10)
Serum ACTH
Low ACTH, n (%) 10 (100)
Pituitary deficiencies
Isolated ACTH deficiency, n (%) 5 (50)
ACTH and gonadotropic deficiency, n (%) 1 (10)
No hormonal dynamic test 4 (40)
Pituitary MRI
No abnormality, n (%) 8 (80)
No imaging, n (%) 2 (20)
Treatment
Corticosteroid replacement 10 (10)
Re‐administration of pembrolizumab
Yes 5 (50)
No 5 (50)

Note: Definitions: hyponatremia <135 mEq/L; hypoglycemia <65 mg/dl; eosinophilia >500/μL.

Abbreviations: ACTH, adrenocorticotropic hormone; CTCAE, common terminology criteria for adverse event v5.0; MRI, magnetic resonance imaging.