Case Report

Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency

Table 1

Laboratorial data.

VariableAdmission 3rd day 6th day 13th day 20th day

Hemoglobin (g/dL) 15.0 12.9 11.6 12.7 13.0
Hematocrit (%) 43.7 37.2 35.3 39.8 40.8
Mean corpuscular volume (m3)76.4 78.3 79.8 83.6 85.5
Platelets (per mm3)215.000 160.000 221.000 280.000 312.000
White-cell count (per mm3)8.100 4.850 6.030 11.060 9.150
Differential count (%)
Neutrophils 0.462 0.528 0.7 0.504 0.82
Eosinophils 0.035 0.075 0.003 0.041 0
Lymphocytes 0.379 0.299 0.214 0.382 0.15
Monocytes 0.12 0.096 0.082 0.071 0.03
Urea (mg/dL) 41.0 25.1 19.7 30.1 31.9
Creatinine (mg/dL) 0.8 0.6 0.6 0.7 0.7
Sodium (mmol/L) 111 109 132 135 135
Potassium (mmol/L) 5.8 4.3 3.9 3.0 3.3
Iron (μg/dL) 25
Ferritin (ng/mL) 361.1
Transferrin saturation (%) 16.3
Vitamin B12 (pg/mL) 864
Folic acid (ng/mL) 4.71
C-reactive protein (mg/L) 18.0 17.3 1.0 2.4
Thyroid-stimulating hormone (IU/mL) 1.87
Free thyroxine (ng/dL) 1.18
Glucose (mg/dL) 91 88
Aspartate transaminase (U/L) 27
Alanine transaminase (U/L) 28
Adrenocorticotropic hormone (pg/mL) 364
Cortisol (g/dL) 4.7
Urinary cortisol (g/24 h) 9.540