15 July 2021>: Articles
Isolated Adrenocorticotropic Hormone Deficiency Associated with Severe Hyperkalemia During Pembrolizumab Therapy in a Patient with Ureteral Cancer and an Ileal Conduit: A Case Report and Literature Review
Unusual clinical course
Yudai Hinata B , Nobumasa Ohara A* , Yuhki Sakurai C , Ryo Koda B , Yuichiro Yoneoka C , Toshinori Takada C , Noboru Hara B , Tsutomu Nishiyama BDOI: 10.12659/AJCR.931639
Am J Case Rep 2021; 22:e931639
Table 3. Laboratory findings on admission in November 2019.
Total protein | 7.2 g/dL | (6.6–8.1) |
Albumin | 3.4 g/dL | (4.1–5.1) |
Creatine phosphokinase | 83 U/L | (41–153) |
Urea nitrogen | 37.4 mg/dL | (8.0–20.0) |
Creatinine | 1.79 mg/dL | (0.46–0.79) |
Sodium | 134 mEq/L | (135–147) |
Potassium | 6.3 mEq/L | (3.5–4.8) |
Chloride | 113 mEq/L | (98–108) |
C-reactive protein | 0.85 mg/dL | (0–0.14) |
Casual plasma glucose | 119 mg/dL | (70–139) |
Adrenocorticotropic hormone | 16.6 pg/mL | (7.2–63.3) |
Cortisol | 1.4 μg/dL | (7.1–19.6) |
Plasma renin activity | 15.7 ng/mL/h | (0.2–2.3) |
Aldosterone | 12.3 ng/dL | (3.0–15.9) |
Arginine vasopressin | 0.9 pg/mL | |
Thyroid-stimulating hormone | 4.80 μIU/mL | (0.50–5.00) |
Free thyroxine | 1.46 ng/dL | (0.90–1.70) |
Free triiodothyronine | 2.57 pg/mL | (2.30–4.00) |
pH | 7.204 | |
Bicarbonate ion | 13.0 mmol/L | |
Partial carbon dioxide pressure | 34.2 mmHg | |
Partial oxygen pressure | 37.5 mmHg | |
Base excess | −13.6 mmol/L | |
Lactic acid | 9.0 mg/dL | |
Anion gap | 9.8 mmol/L | |
The reference range for each parameter is shown in parentheses. Blood samples were collected in the morning with the patient in the supine position. |