Graves’ Thyrotoxicosis Leading to Adrenal Decompensation and Hyperandrogenemia in a Pediatric Patient with Salt-Wasting Congenital Adrenal Hyperplasia

Table 1

Androgens and thyroid studies at baseline, diagnosis, and after 4 and 12 weeks of treatment.

Lab Value	Reference Range	15 Weeks prior	Diagnosis	4 weeks	12 weeks
TSH (uIU/ml)	0.35-5.5		0.019	0.021	4.345
Total T3 (ng/dl)	82-213		331	150	99
Free T4 (ng/dl)	0.8-1.8		2.82	1.42	0.89
17-Hydroxyprogesterone (ng/dl)	11-155	639	11,600	717	33
Androstenedione (ng/dl)	50-170	28	257	74	89
Testosterone (ng/dl)	15-35	8	67	18	15