Laboratory Studies

Laboratory studies should be directed toward confirming the impression of androgen (testosterone) excess and localizing the source.

                                        Patient          Reference
Testosterone (S)                       172 ng/dl          2 - 12
Lutenizing Hormone (LH), basal (S)     1.7 mU/ml              <2 (pre-puberty)
FSH, basal (S)                          <1 mU/ml              <1
17-OH-progesterone
    basal (S)                       11,690 ng/dl            <100
    60 min after ACTH stim (S)      22,000 ng/dl            <250
Cortisol
    basal (S)                            7 ug/dl          5 - 20 (morning)
    after ACTH stimulation (S)          10 ug/dl           2 - 3 x basal

Questions

How would you interpret these test results?