New onset Graves' disease as a cause of an adrenal crisis in an individual with panhypopituitarism: brief report

Table 1 Biochemical and hormonal results of patient at the time of diagnosis, after debulking of craniopharyngioma and on the day of emergency admission.

	Before surgery	After surgery (one month later)	On admission with adrenal crisis (Five months later)	Reference range
Sodium [mmol/l]	144	139	141	135–150
Potassium [mmol/l]	3.9	4.3	3.9	3.5–5.0
Creatinine [mg/dl]	0.8	0.8	0.9	0.6–1.4
TSH [mU/l]	0.069	0.007	0.010	0.27–4.2
Free T₄ [ng/dl]	0.952	1.32	6.32	0.93–1.7
Free T₃ [pg/ml ]	1.87	1.52	22.21	1.8–4.6
LH [IU/l]	0.588	<0.100	not assessed	1.7–8.6
FSH [IU/l]	0.530	0.135	not assessed	1.5–12.4
Testosterone [ng/ml]	0.355	0.023	not assessed	2.8 – 8.0
8 am Cortisol [μg/dl]	7.79*	0.168**	0.940	6.2–19.4
Prolactin [ng/ml]	18.56	16.1	not assessed	3.4–24.1

*Without hydrocortisone replacement. In order to covert μg/dl to nmol/l multiply by 27.6
**Hydrocortisone omitted in the afternoon prior to measurement.

ISSN: 1756-6614