Case Report

PES Syndrome Presenting as Severe Hyponatremia in an Asymptomatic Septuagenarian

Table 1

Endocrine profile.

Endocrine profileSerum levels

Adrenocorticotropic hormone (ACTH)12 pg/ml
Thyroid-stimulating hormone (TSH)1.46 mcIU/ml
Free T40.47 ng/dl
Growth hormone (GH)<0.1 ng/ml
IGF binding protein 30.6 mg/L

Luteinizing hormone (LH)0.8 IU/ml
Follicle-stimulating hormone (FSH)1.4 IU/ml
Testosterone<10 ng/dL
Prolactin19.4 ng/ml
Baseline serum cortisol2 mcg/dl
After cosyntropin stimulation test at 30 mins8 mcg/dl
After cosyntropin stimulation test at 60 mins9 mcg/dl

Antidiuretic hormone (ADH)<0.5 pg/ml