Early diagnosis in familial glucocorticoid deficiency

Figures & data

Figure 1. Generalized hyperpigmentation of the skin.

Table 1. Represent the electrolyte and the hormonal work up.

Lab values	Initial Result	Reference Range
Na	140 mmol/l	135–148 mmol/l
K	4 mmol/l	3.5–5.8 mmol/l
Ca	2.38 mmol/l	2.2–2.7 mmol/l
Mg	0.89 mmol/l	0.7–0.9 mmol/l
Glucose	12 mg/dl	60–105 mg/dl
Cortisol	89 nmo/l	165–828 nmol/l
ACTH	>440 pmol/l	0–10 pmol/L

This table showed a low cortisol concentration, elevated ACTH level and normal electrolytes all supported the diagnosis of primary glucocorticoid deficiency.