Hypopituitary syndrome with pituitary crisis in a patient with traumatic shock: A case report

Table 1 Laboratory examinations

Parameter	Value	Reference range
WBC	5.16 × 109 /L	3.50-9.50 × 109 /L
HB	79 g/L↓	130-175 g/L
PLT	59 × 109/L↓	125-350 × 109/L
PCT	1.080 ng/mL↑	0-0.046 ng/mL
IL-6	138.2 pg/mL↑	0-7.0 pg/mL
Total protein	57.7 g/L↓	65.0-85.0 g/L
Albumin	29.9 g/L↓	40.0-55.0 g/L
Alanine aminotransferase	25 U/L	9–50 U/L
Aspartate aminotransferase	47 U/L↑	15-40 U/L
Total bilirubin	29.7 μmol/L↑	0.0-26.0 μmol/L
Direct bilirubin	6.9 μmol/L↑	0.0-4.0 μmol/L
Indirect bilirubin	22.8 μmol/L↑	0.0-22.0 μmol/L
BUN	5.54 mmol/L	3.60-9.50 mmol/L
CR	85 μmol/L	57-111 μmol/L
Uric acid	290 μmol/L	208-428 μmol/L
GLU	7.88 mmol/L↑	3.90-6.10 mmol/L
K+	3.62 mmol/L	3.50-5.30 mmol/L
Na+	151.9 mmol/L↑	137.0-147.0 mmol/L
Creatine kinase	612 U/L↑	50-310 U/L
Lactate dehydrogenase	292 U/L↑	120-250 U/L
Troponin I	0.26 ng/mL↑	0.00-0.05 ng/mL
BNP	278 ng/L↑	0-100 ng/L
D-dimer	11.24 μg/mL	0.00-0.55 μg/mL

↑: Above the reference range; ↓: Below the reference range; WBC: White blood cells count; Hb: Hemoglobin; PLT: Platelet count; PCT: Procalcitonin; IL-6: Interleukin-6; BNP: Atrial brain natriuretic peptide; BUN: Blood urea nitrogen; Cr: Blood creatinine; Glu: Blood glucose.

Table 2 Laboratory examinations

Parameter	Value	Reference range
Triiodothyronine	0.700 nmol/L↓	1.300-3.100 nmol/L
Free triiodothyronine	1.890 pmol/L↓	3.100-6.800 pmol/L
Thyroid hormone	38.460 nmol/L↓	166.000-181.000 nmol/L
Free thyroxine	5.210 pmol/L↓	12.000-22.000 pmol/L
Thyrotropin	0.130 mIU/L↓	0.270-4.200 mIU/L
Cortisol	532.0 nmol/L	138.0-690.0 nmol/L
Adrenocorticotropic hormone	5.77 pg/mL	0-46.00 pg/mL
Follicle-stimulating hormone	0.82 mIU/mL↓	1.50-12.40 mIU/mL
Luteinizing hormone	0.13 mIU/mL	1.70-8.60 mIU/mL
Testosterone	18.8 ng/dL↓	193-740 ng/dL
Pituitary prolactin	14.33 ng/mL	4.10-18.40 ng/mL
Osmotic pressure (blood)	301.4 mOsm/kg	275-305 mOsm/kg
Growth hormone	0.14 ng/mL	0.06-5.00 ng/mL
Insulin-like growth factor-1	54.30 ng/mL↓	64.00-188.00 ng/mL
Insulin-like growth factor binding protein	30.70 μg/mL↓	2.80-5.70 μg/mL
Osmotic pressure (urine)	712.4 mOsm/kg	600-1000 mOsm/kg

↑: Above the reference range; ↓: Below the reference range.