Case Report
Isolated Adrenocorticotropin Deficiency Associated with Delirium and Takotsubo Cardiomyopathy
Table 3
Reported cases with isolated ACTH deficiency with delirium.
| Case | Age/Sex | Past history | Preceding duration of physical symptoms | Mental symptoms | Normalization of delirium | Steroid hormone therapy | Reference |
| 1 | 68/M | Stroke | 4 months | Disorientation to time and place incontinence | 1 day | Cortisone acetate 25 mg/d PO for 10 days 37.5 mg/d PO | [2] | 2 | 74/M | — | 1 week | Delirious state | 3 days | Hydrocortisone Details unclear | [3] | 3 | 67/M | Cholecystitis | 7 weeks | Incoherent speech and conduct incontinence | Details unclear | Hydrocortisone 20 mg/d PO | [4] | 4 | 65/F | Hashimoto’s disease | 1 week | Paranoia visual hallucinations | 3 days | Hydrocortisone 400 mg/d IV for 2 days 20 mg/d PO | Present case |
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PO: per os, IV: intravenously, and d: day.
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