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.
Result
Reference ranges
Hormones
Baseline cortisol
<1.1 g/dL
6.0–26.0
Adrenocorticotropine (ACTH)
<5 ng/L
<46
Renin
824.5 ng/L
1.4–17.4
Luteinizing hormone (LH)
4.6 U/L
0.8–7.6
Dehydroepiandrosterone sulfate (DHEAS)
<0.1 g/mL
0.8–5.6
Follicle-stimulating hormone (FSH)
4.0 U/L
0.7–11.1
Testosterone
13.3 nmol/L
8.0–27.7
ACTH stimulation test
Cortisol after 0 minutes
<1.1 g/dL
6.0–26.0
Cortisol after 60 minutes
1.9 g/dL
Threshold values for cortisol peak range from 18.1 to 21.7 g/dL*