Case Reports in Endocrinology / 2012 / Article / Tab 3

Case Report

Isolated Adrenocorticotropin Deficiency Associated with Delirium and Takotsubo Cardiomyopathy

Table 3

Reported cases with isolated ACTH deficiency with delirium.

CaseAge/SexPast historyPreceding duration of physical symptomsMental symptomsNormalization of deliriumSteroid hormone therapyReference

168/MStroke4 monthsDisorientation to time and place
incontinence
1 dayCortisone acetate
25 mg/d PO for 10 days
37.5 mg/d PO
[2]
274/M1 weekDelirious state3 daysHydrocortisone
Details unclear
[3]
367/MCholecystitis7 weeksIncoherent speech and conduct
incontinence
Details unclearHydrocortisone
20 mg/d PO
[4]
465/FHashimoto’s disease1 weekParanoia
visual hallucinations
3 daysHydrocortisone
400 mg/d IV for 2 days
20 mg/d PO
Present case

PO: per os, IV: intravenously, and d: day.

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