Adrenal insufficiency laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name].

OR

Laboratory findings consistent with the diagnosis of [disease name] include [abnormal test 1], [abnormal test 2], and [abnormal test 3].

OR

[Test] is usually normal for patients with [disease name].

OR

Some patients with [disease name] may have elevated/reduced concentration of [test], which is usually suggestive of [progression/complication].

OR

There are no diagnostic laboratory findings associated with [disease name].

Laboratory Findings

Laboratory findings consistent with the diagnosis of primary adrenal insufficiency include:

• Electrolytes: Hyponatremia, hyperkalemia, hypercalcemia
• Complete blood picture: Normocytic normochromic anemia, lymphocytosis, eosinophilia
• Episodic hypoglycemia
• Prerenal azotemia: Hypovolemia, elevated BUN, elevated cratinine
• Acid base: Mild metabolic acidosis

Laboratory findings consistent with the diagnosis of secondary adrenal insufficiency include:

• Electrolytes: Hyponatremia
• Episodic hypoglycemia