Table 1

Laboratory findings evolution

Normal rangeWith corticosteroidsWithout corticosteroids (since Jul 2013)
January 2013,
40 years old*
May 2013September 2013February 2014,
41 years old
September 2014March 2015,
42 years old
December 2015April 2017,
44 years old
ACTH
(pg/mL)
0–46<5<510.521.41617.926.4
Serum cortisol
(μg/dL)
4.3–230.40.42.612.29.110.420.5
Urinary cortisol
(μg/24 hours)
55.5–2861091384194
FSH (U/L)1.4–18.136.626.325.027.230.0
LH (U/L)1.5–9.312.712.713.715.913.0
Total testosterone
(ng/dL)
240–830465309290337
Free testosterone
(pg/mL)
6.6–232.05.45.15.69.3
SHBG
(nmol/L)
10–5764.267.654.969.0
  • *At this time the diagnosis of exogenous Cushing syndrome was made, and the patient started reducing the dose of corticosteroids.

  • ACTH, adrenocorticotropic hormone; FSH, follicle-stimulating hormone; LH, luteinising hormone; SHBG, sexhormone-binding globulin.