Megace Mystery: A Case of Central Adrenal Insufficiency

Table 1

Endocrine lab results.

	Hospital day 1, 7:00 am	Hospital day 1, 5:30 pm	Hospital day 5	Normal range
Cortisol	0.6 mcg/dL	1.0 mcg/dL		6.2–19.4
Adrenocorticotropic hormone (ACTH)		<5 pg/mL		10–60
Thyroid stimulating hormone (TSH)		1.05 mIU/L		0.35–4.70
Free thyroxine		0.8 ng/dL		0.7–1.9
Luteinizing hormone (LH)		12.0 mIU/mL
Follicle stimulating hormone (FSH)		28.6 mIU/mL
Prolactin		16.0 ng/mL		1.2–29.9
Insulin-like growth factor-1 (IGF-1)			178 ng/mL	45–173