Case Report
Severe Psychotic Disorder as the Main Manifestation of Adrenal Insufficiency
Table 1
Laboratorial data.
| Variable | Admission | 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 | | |
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