Table 1 Initial biochemistry results ^a

Cortisol dynamic

1 (confirmed twice)

nmol/L

ACTH

46.2

pg/mL

<46.0

Na⁺

134

mmol/L

136 to 145

K⁺

4.1

mmol/L

3.3 to 4.8

Cl^-

112

mmol/L

98 to 108

Urea

52

mg/dL

12 to 40

Creatinine

2.4

mg/dL

0.7 to 1.2

Ca²⁺

9.3

mg/dL

8.9 to 10.2

Random glucose

119

mg/dL

Magnesium

2.49

mg/dL

1.7 to 2.55

ALT

5

g/dL

0 to 41

AST

24

U/L

0 to 40

Alkaline phosphatase

53

U/L

40 to 129

Albumin

3.4

g/dL

3.4 to 4.8

Total bilirubin

0.3

mg/dL

0 to 1.0

Tissue transglutaminase

2.7

U/mL

<15

T4

10.6

pmol/L

11.5 to 22.7

T3

2.7

pmol/L

3.5 to 6.5

TSH

10.61

μIU/mL

0.55 to 4.78

ATG

82.5

IU/mL

<100

ATPO

670.7 (+ve)

IU/mL

<50

Anti-adrenal antibodies

Negative

<1:10

Blood culture

Negative

Urine culture

Negative

Stool culture

Negative