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Table 1 The initial laboratory results in pat i ent with Iatrogenic Cushing’s syndrome

From: Iatrogenic Cushing’s syndrome with inhaled steroid plus antidepressant drugs

 

Results (normal range)

 

Results (normal range)

ACTH

: 1 pg/mL (0–46)

Albumin

: 3.7 gr/dL (3.2-4.8)

Cortisol

: 0.8 μg/dL (5–25)

AST

: 41U/L (0–45)

Urinary free cortisol

: 60 μg /day (20–70)

ALT

: 21U/L(10–45)

DHEAS

: 9 μg/dL (35–430)

Alkaline phosphatase

: 42U/L (45–129)

Total testosterone

: 15ng/dL (20–90)

Calcium

: 9 mg/dL (8.6-10)

Free T4

: 2.34ng/dl (0.8-1.58)

Phosphorus

: 2.9mg/dL (2.1-4)

TSH

: 1.44mIU/L (0.4-4)

Total cholesterol

: 232mg/dL (50–200)

Glucose

: 104mg/dL (74–106)

Triglyceride

: 68mg/dL(20–170)

Urea

: 21mg/dL (19–50)

HDL cholesterol

: 79mg/dL(45–65)

Creatinine

: 0.6mg/dL (0.7-1.3)

LDL cholesterol

: 139 mg/dL(5–130)

Sodium

: 143mEq/L (135–145)

CRP

: < 3mg/L (0–5)

Potassium

: 3.2 mEq/L (3.5-5.5)

ESR

: 9 mm/sa (5–25)

Leukocyte

: 7700/mm3 (4600–10.000)

Hemoglobin

: 13 gr/dL(12–17)

Hematocrit

: 38% (37–50)

Platelet

: 133000/mm3(150–450)

FEV1

: 2.67 L (2.83)

FEV1/ FVC

: 97% (83)

PEF

: 6.16L/sec (6.59)

MEF25-75

: 4.51L/sec (3.83)

  1. Cortisol after 1 μg ACTH stimulation test (30th and 60th): 3 and 3.4 μg/dl (> 18 μg/dl).
  2. Definition of abbreviations: ALT, serum alanine amino-transferase; AST serum amino-transferase; CRP, C reactive protein; DHEAS, dehydroepiandrosterone sulfate; ESR, erythrocyte sedimentation rate; FEV, forced expiratory volume; FVC, forced vital capacity; MEF 25–75, mean forced expiratory flow between 25% and 75% of FVC; PEF, peak expiratory flow.