Case Report
Graves’ Thyrotoxicosis Leading to Adrenal Decompensation and Hyperandrogenemia in a Pediatric Patient with Salt-Wasting Congenital Adrenal Hyperplasia
Table 1
Androgens and thyroid studies at baseline, diagnosis, and after 4 and 12 weeks of treatment.
| Lab Value | Reference Range | 15 Weeks prior | Diagnosis | 4 weeks | 12 weeks |
| TSH (uIU/ml) | 0.35-5.5 | | 0.019 | 0.021 | 4.345 | Total T3 (ng/dl) | 82-213 | | 331 | 150 | 99 | Free T4 (ng/dl) | 0.8-1.8 | | 2.82 | 1.42 | 0.89 | 17-Hydroxyprogesterone (ng/dl) | 11-155 | 639 | 11,600 | 717 | 33 | Androstenedione (ng/dl) | 50-170 | 28 | 257 | 74 | 89 | Testosterone (ng/dl) | 15-35 | 8 | 67 | 18 | 15 |
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