Table 1 Laboratory values at initial presentation

TSH

> 1000mU/L (normal 0.27-4.2)

FT4

< 0.5pmol/L (normal 13-23)

Karyotype

46, XX

IGF-1

11.2nmol/L (normal 25-84)

Cholesterol

11.9mmol/L (normal 1.3-5.2)

AST

78U/L (normal 14-50)

ALT

51U/L (normal 9-52)

Creatinine

65.4μmol/L (normal 53-88)

Hemoglobin

5.0mmol/L (normal 7.4-9.9)

Creatine kinase

1178U/L (normal 30-135)

Cortisol

333.8nmol/L (normal 166-386)