Late-onset Sheehan’s syndrome presenting with rhabdomyolysis and hyponatremia: a case report

Table 1 Laboratory test results at presentation to hospital and at one and two weeks later

	Presentation	Week one	Week two	Reference values
Blood urea nitrogen, mg/dL	28	20	33	10 to 50
Creatinine, mg/dL	0.83	0.78	0.9	0.6 to 1.0
Sodium, mEq/L	129	132	138	135 to 145
Potassium, mEq/L	4.75	4.6	4.5	3.5 to 5
Chlorine, mEq/L	92	98	105	95 to 108
Glucose, mg/dL	61	70	75	70 to 110
Cholesterol, mg/dL	310	300	222	<180
High-density lipoprotein, mg/dL	45	43	49	40 to 85
Triglycerides, mg/dL	172	180	150	<190
Glutamic oxaloacetic transaminase, U/L	123	58	41	7 to 34
Glutamic pyruvic transaminase, U/L	60	29	28	8 to 50
Creatine kinase, U/L	1377	678	292	40 to 300
Lactate dehydrogenase, U/L	1023	950	605	240 to 450
Myoglobin, ng/mL	1150	380	88	<90
Uric acid, mg/dL	2.9	2.4	2.7	2.3 to 6
Plasma osmolarity, mOsm/L	277	280	292	280 to 300
Urine:
Specific gravity, N/m³	1005	1009	1010	1003 to 1030
Osmolarity, mOsm/L	175	315	350	105 to 1050
pH	7	7.5	6.5	4.5 to 7
Urine sodium, mEq/L/24 hours	93	142	130	50 to 250
Urine potassium, mEq/L/24 hours	16	30	45	30 to 110
Hormones:
Free tri-iodothyronine, pg/mL	0.6		1	2.0 to 4.4
Free thyroxine, ng/dL	0.06		0.21	0.93 to 1.7
Thyroid-stimulating hormone, uIU/mL	1.56		2.19	0.27 to 4.2
Adrenocorticotropic hormone, pg/mL (8.00 am)	17		-	7.2 to 63.3
Cortisol, μg/mL	1.4		-	6.2 to 19
Prolactin, ng/mL	1.41		-	4.79 to 23.3
Follicle-stimulating hormone, mIU/mL	7.04		-	25.8 to 134
Luteinizing hormone, mIU/mL	3.0		-	7.7 to 58.5

One-week values are without hormone therapy. Two-week values are with cortisone acetate therapy.

ISSN: 1752-1947