Anatomopathological Session Case 1 – 59-year-old Male Patient with Severe Obesity, Arterial Hypertension and Heart Failure Submitted to Anticoagulation Therapy for Atrial Fibrillation, Presented Cerebrovascular Accident and Septicemia

Correspondência: Vera D. Aiello • InCor Av. Dr. Enéas de Carvalho Aguiar, 44 05403-000 São Paulo, SP E-mail: [email protected] Section Editor: Alfredo José Mansur ([email protected]) Associated Editors: Desidério Favarato ([email protected]) Vera Demarchi Aiello ([email protected]) Laboratory assessment (March 8, 2001) showed hemoglobin = 14.4 g/dL, hematocrit = 43%, uric acid = 9 mg/dL, creatinine = 1.6 mg/dL, potassium = 4.4 mEq/L, sodium =145 mEq/L, fasting glycemia = 148 mg/dL, total cholesterol = 121 mg/dL, triglycerides = 57 mg/dL; urinalysis showed proteinuria of 0.25 g/L, with no other alterations. TSH was 5.28 U/mL, free T4 was 1.1 ng/dL, leptin was 31 ng/mL (normal range =3.8±1.8 ng/mL), testosterone = 336 ng/mL, FSH = 2.6 UI/L, LH = 2.0 UI/L, estradiol = 40.2 pg/mL, insulin = 7.9 Ul/mL, urinary cortisol = 261 g/24 h and DHEAS = 1457 ng/mL.