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Table 1 Summary of Laboratory investigations on presentation

From: Apoplexy of Crooke cell tumour leading to the diagnosis of severe Cushing disease; a case report

Investigation

Result

Reference range

Haemoglobin (g/dL)

11.6

11–16

White Cell Count (× 109/L)

7.34

4–11

Platelet Count (×109/L)

161

150–450

C- Reactive Protein (mg/L)

< 2

< 6

Serum Creatinine (mg/dL)

0.59

0.5–1.1

Sodium (mmol/L)

141

135–145

Potassium (mmol/L)

2.2

3.5–5.1

24 h urinary potassium excretion (mmol/24 h)

34.56

25–125

Urinalysis

normal

 

Aspartate transaminase (U/L)

41

< 40

Alanine transaminase (U/L)

52

< 40

Albumin (g/dL)

3.8

3.5–4.5

Globulin (g/dL)

2.3

2.2–3.5

Bilirubin (mg/dL)

1

0.5–1.1

Fasting blood glucose (mg/dL)

135

< 100

HbA1C (%)

5.8

4–5.7

Arterial blood pH

7.57

7.35–7.45

Arterial Bicarbonate (mmol/L)

35

24–28

Thyroid stimulating hormone (mIU/l)

0.116

0.5–4.7

Free T4 (ng/dl)

1.04

0.89–1.76

9 am cortisol (nmol/l)

1451

118–618

Prolactin (mIU/l)

237

102–496

Follicle stimulating hormone (IU/L)

< 0.3

 

Luteinising hormone (IU/L)

< 0.07

 

Insulin like growth factor-1 (ng/ml)

87

81–278

Dual-energy X-ray absorptiometry

Bone mineral Density (g/cm2)

Lumbar spine: 0.814

Right hip: 1.017

Left hip: 0.979

Z-score

Lumbar spine: −2.0

Right hip: 0.6

Left hip: 0.4