Table 1 Hormone levels of the patient with Carney complex.

From: Whole genome sequencing resolves 10 years diagnostic odyssey in familiar myxoma

Hormone

Value at age of 41 years

Values after 18 months of metformin treatment

Reference range

TSH (mU/L)

1.240

0.757

0.35 0–4.940

Midnight salivary cortisol (nmol/L)

3.220

ND

 < 11.900

Urinary free cortisol (nmol/24 h)

279.8 and 332.0

ND

100.0–379.0

ACTH (pg/mL)

23

30

5–60

Serum cortisol (nmol/L) 08.00 am

447.30

389.3

220–690

Serum cortisol (nmol/L) 24.00 pm

304.30

ND

 < 136

Serum cortisol (nmol/L) following administration of

1 mg dexamethasone

65.450

65.180

 < 50

8 mg dexamethasone

54.910

ND

 < 50

DHEA-S (umol/L)

4.16

ND

1.65–11.00

Serum prolactin (ng/mL)

11.08

7.95

1.39–24.20

IGF-1 (ng/mL)

85.4

179.5

50.0–175.0

Serum ß-crosslaps (pg/mL)

333

226

100–573

Serum osteocalcin (ng/mL)

12.30

12.97

12.00–41.00

HOMA_insulin (uU/mL)

24.72

4.79

2.60–24.90

HOMA_glucose (mmol/L)

4.77

4.50

3.00–5.50

HOMA_index

5.24

0.96

0.00–4.40

Oral glucose load, serum glucose 0 min (mmol/L)

5.4

4.9

 

Oral glucose load, serum glucose 120 min (mmol/L)

7.2

5.4

 
  1. TSH thyroid stimulating hormone, ACTH adrenocorticotropic hormone, DHEA-S dehydroepiandrosterone-sulphate, GH growth hormone, IGF-I insulin-like growth factor 1.