Case Report
PES Syndrome Presenting as Severe Hyponatremia in an Asymptomatic Septuagenarian
| Endocrine profile | Serum levels |
| Adrenocorticotropic hormone (ACTH) | 12 pg/ml | Thyroid-stimulating hormone (TSH) | 1.46 mcIU/ml | Free T4 | 0.47 ng/dl | Growth hormone (GH) | <0.1 ng/ml | IGF binding protein 3 | 0.6 mg/L |
| Luteinizing hormone (LH) | 0.8 IU/ml | Follicle-stimulating hormone (FSH) | 1.4 IU/ml | Testosterone | <10 ng/dL | Prolactin | 19.4 ng/ml | Baseline serum cortisol | 2 mcg/dl | After cosyntropin stimulation test at 30 mins | 8 mcg/dl | After cosyntropin stimulation test at 60 mins | 9 mcg/dl |
| Antidiuretic hormone (ADH) | <0.5 pg/ml |
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