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Table 1 Hormonal profile during the follow-up

From: Fatal factitious Cushing syndrome (Münchhausen’s syndrome) in a patient with macroprolactinoma and silent corticotrophinoma: case report and literature review

Exam

Mar/2006

Jan/2010

Aug/2013

Normal range

Before TS*

After TS**

Recurrence

ACTH

43

27

24

<46 pg/mL

Salivary cortisol (midnight)

0.13

<0.1

2.49

<0.12 μg/dL

Overnight DST§

4.1

NA

15.1

<1.8 μg/dL

24-h UTC

NA

132

12,200

50 - 310 μg/24 h

Serum cortisol (morning)

19.6

11.4

33

5 - 25 μg/dL

DHEA-S

2,246

NA

208

988 – 3,400 ng/mL

LH

1.1

0.2

0.9

14.0 – 95.6 IU/L

FSH

1.7

<1

2.4

4.7 – 21.5 IU/L

E2

42.6

<13

<15

85.8 – 498.0 pg/mL

Prolactin

57

13.3

27

4.8 – 23.3 ng/mL

TSH

<0.03

<0.03

0.58

0.27 – 4.20 μIU/mL

Free T4

1.2

0.97

0.63

0.93 - 1.70 ng/dL

GH

0.6

<0.1

<0.1

<4.4 ng/mL

IGF-I

179

75

26

152.7 – 396.5 ng/mL

  1. *Using bromocriptine 5 mg/day, **Using cabergoline 0.5 mg/day, TS: transsphenoidal surgery, §Dexamethasone suppression test