Case Report

Adrenal Crisis Caused by Inhaled Fluticasone in an Adolescent with Cystic Fibrosis and Advanced Hepatopathy: A Case Report

Table 1

Hormone laboratory values at admission. The low cortisol level 60 minutes after stimulation with 25 IE ACTH 1–24 intravenously is indicative of hypopituitary adrenal insufficiency.

ResultReference ranges

Hormones
Baseline cortisol<1.1  g/dL6.0–26.0
Adrenocorticotropine (ACTH)<5 ng/L<46
Renin824.5 ng/L1.4–17.4
Luteinizing hormone (LH)4.6 U/L0.8–7.6
Dehydroepiandrosterone sulfate (DHEAS)<0.1  g/mL0.8–5.6
Follicle-stimulating hormone (FSH)4.0 U/L0.7–11.1
Testosterone13.3 nmol/L8.0–27.7
ACTH stimulation test
Cortisol after 0 minutes<1.1  g/dL6.0–26.0
Cortisol after 60 minutes1.9  g/dLThreshold values for
cortisol peak range from 18.1 to 21.7  g/dL*

*Petersenn et al. [3].