Pathogenesis of adrenocortical incidentalomas and genetic syndromes associated with adrenocortical neoplasms.

abstract：:Morbid obesity has reached epidemic proportions in the United States. Unfortunately, medical interventions have been largely ineffective in this growing population. Currently bariatric surgery is the most effective intervention in managing morbid obesity and its comorbidities. As more patients become eligible for and ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Stocker DJ

更新日期：2003-06-01 00:00:00

abstract：:Both somatostatin analogues, which bind to the somatostatin receptor subtypes 2 and 5, and dopamine agonists, which are specific for the D2 receptor, have been used to treat acromegaly. Each of these classes of drugs contains several compounds that vary in duration of action, efficacy, and side effect profile. Althoug...

journal_title：Endocrinology and metabolism clinics of North America

authors： Newman CB

更新日期：1999-03-01 00:00:00

abstract：:Endocrinologists may be challenged not only by the great diversity of rare heritable metabolic bone diseases, but also by an unusual array of genetically transmitted skeletal dysplasias. The striking impact that many such skeletal dysplasias have on bone leads physicians naturally to question whether there is a metabo...

journal_title：Endocrinology and metabolism clinics of North America

authors： Whyte MP

更新日期：1990-03-01 00:00:00

abstract：:Parathyroid hormone (PTH) is the major secretory product of the parathyroid glands, and in hypocalcemic conditions, can enhance renal calcium reabsorption, increase active vitamin D production to increase intestinal calcium absorption, and mobilize calcium from bone by increasing turnover, mainly but not exclusively i...

journal_title：Endocrinology and metabolism clinics of North America

authors： Goltzman D

更新日期：2018-12-01 00:00:00

abstract：:Ambiguity of the external genitalia may be based on disordered steroid biosynthesis or may arise from fundamental genetic and chromosomal abnormalities that produce failure of gonadogenesis. This article first discusses congenital adrenal hyperplasia and then considers the diverse abnormalities that cause disordered g...

journal_title：Endocrinology and metabolism clinics of North America

authors： New MI,Josso N

更新日期：1988-06-01 00:00:00

abstract：:This article discusses recent evidence that associates the developing intestinal microbiome to the pathogenesis of autoimmune T1D. It attempts to identify avenues that should be pursued that relate this new evidence to interventions that eventually could result in prevention. ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Neu J,Lorca G,Kingma SD,Triplett EW

更新日期：2010-09-01 00:00:00

abstract：:The development of vaccines is arguably the most significant achievement in medicine to date. The practice of innoculation with the fluid from a sore to protect from a disease actually dates back to ancient China; however, with the introduction of Jenner's smallpox vaccine, and greater understanding of the immune syst...

journal_title：Endocrinology and metabolism clinics of North America

authors： Urbanek-Ruiz I,Ruiz PJ,Steinman L,Fathman CG

更新日期：2002-06-01 00:00:00

abstract：:Mediators of neuroendocrine and autonomic function seem to play important roles in the core symptoms of major depression. Although centrally directed corticotropin-releasing hormones and norepinephrine contribute to core symptoms such as alterations in anxiety, arousal, and mood, they also exert significant potentiall...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gold PW,Gabry KE,Yasuda MR,Chrousos GP

更新日期：2002-03-01 00:00:00

abstract：:This article summarizes the clinical features and molecular pathogenesis of medullary thyroid cancer (MTC) and focuses on the current use of molecular, biochemical, and imaging disease markers as a basis for selection of appropriate therapy. Clinicians treating patients who have MTC face the following challenges: (1) ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ball DW

更新日期：2007-09-01 00:00:00

abstract：:This article describes the basic skills for the design, implementation, and interpretation of randomized controlled studies. Strengths and limitations of each study design are discussed. Epidemiologic issues in the analysis and interpretation of studies, such as loss to follow-up and biases, are included. Numerous cli...

journal_title：Endocrinology and metabolism clinics of North America

authors： Salamone LM,Cauley JA

更新日期：1997-03-01 00:00:00

abstract：:Thyroid storm represents the extreme manifestation of thyrotoxicosis as a true endocrine emergency. Although Grave's disease is the most common underlying disorder in thyroid storm, there is usually a precipitating event or condition that transform the patient into life-threatening thyrotoxicosis. Treatment of thyroid...

journal_title：Endocrinology and metabolism clinics of North America

authors： Nayak B,Burman K

更新日期：2006-12-01 00:00:00

abstract：:Physiologic regulation of bone cell function is achieved by the combined actions of some circulating hormones and several locally produced cytokines. Interactions among these agents are important, and the regulated generation of proteolytic activities is likely to play a major role in determining net effects on bone c...

journal_title：Endocrinology and metabolism clinics of North America

authors： Martin TJ,Ng KW,Suda T

更新日期：1989-12-01 00:00:00

abstract：:Health care providers and patients have lots of choice to treat type 2 diabetes, but the blood glucose improvement is limited. The one therapy with unlimited potential (at least theoretically) is insulin. Many studies show that glucose control is achievable with insulin safely in most patients with type 2 diabetes. Ef...

journal_title：Endocrinology and metabolism clinics of North America

authors： Leahy JL

更新日期：2012-03-01 00:00:00

abstract：:Hypertension is an important and modifiable risk factor for the macrovascular and microvascular complications of diabetes. Prior literature outlines the significance of lowering blood pressure and subsequent cardiovascular and microvascular benefits. Blood pressure targets of less than 140/90 mm Hg are recommended in ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Dojki FK,Bakris GL

更新日期：2018-03-01 00:00:00

abstract：:The recent discovery of specific and sensitive biochemical markers reflecting the overall rate of bone formation and bone resorption has markedly improved the noninvasive assessment of bone turnover in various metabolic bone diseases, especially in osteoporosis. The immunoassay of human osteocalcin, recognizing the in...

journal_title：Endocrinology and metabolism clinics of North America

authors： Garnero P,Delmas PD

更新日期：1998-06-01 00:00:00

abstract：:Trabecular bone score (TBS) is a novel method that assesses skeletal texture from spine dual-energy X-ray absorptiometry (DXA) images. TBS improves fracture-risk prediction beyond that provided by DXA bone mineral density (BMD) and clinical risk factors, and can be incorporated to the Word Health Organization Fracture...

journal_title：Endocrinology and metabolism clinics of North America

authors： Silva BC,Leslie WD

更新日期：2017-03-01 00:00:00

abstract：:Normal sleep is characterized both by reduced glucose turnover by the brain and other metabolically active tissues, and by changes in glucose tolerance. Sleep duration has decreased over the last several decades; data suggest a link between short sleep duration and type 2 diabetes. Obstructive sleep apnea (OSA) result...

journal_title：Endocrinology and metabolism clinics of North America

authors： Mesarwi O,Polak J,Jun J,Polotsky VY

更新日期：2013-09-01 00:00:00

abstract：:Estrogen deficiency at menopause is associated with increased risk of bone loss and osteoporosis. Aromatase inhibitors (AIs) are increasingly being used for the treatment of postmenopausal hormone-sensitive breast cancer because of better disease-free survival compared with tamoxifen seen in clinical trials with AIs. ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Mirza FS

更新日期：2011-09-01 00:00:00

abstract：:Osmoreceptor sensitivity is enhanced in healthy elderly subjects and AVP secretion is increased, relative to that of younger subjects, when plasma osmolality rises. Increased AVP secretion/unit increase in plasma tonicity reflects a decrease in collecting tubule sensitivity to AVP by an as yet unknown mechanism in the...

journal_title：Endocrinology and metabolism clinics of North America

authors： Davis PJ,Davis FB

更新日期：1987-12-01 00:00:00

abstract：:There are many pathways that might lead to decreased bone mass, skeletal fragility, and increased fracture risk in osteoporosis. Some of these have been clearly identified, such as estrogen deficiency. Others that were conceived on the basis of experimental findings and recent scientific discoveries such as abnormalit...

journal_title：Endocrinology and metabolism clinics of North America

authors： Raisz LG,Rodan GA

更新日期：2003-03-01 00:00:00

abstract：:CD4 + CD25 + regulatory T (TR) lymphocytes are essential to the maintenance of immunologic tolerance in the host. The discovery of Foxp3 as a transcription factor essential to the differentiation of TR ushered in detailed studies of the molecular mechanisms of TR cell development, peripheral homeostasis, and effector ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Chatila TA

更新日期：2009-06-01 00:00:00

abstract：:A consensus conference of the American Association of Clinical Endocrinologists and American College of Endocrinology held in February 2016 advocated expanding the use of continuous glucose monitoring (CGM) in the management of diabetes. Based on the data described in this paper, CGM use is shown to improve glucose co...

journal_title：Endocrinology and metabolism clinics of North America

authors： Toschi E,Wolpert H

更新日期：2016-12-01 00:00:00

abstract：:This article discusses several unusual forms of primary thyroid neoplasms. The TCV of PTC and insular thyroid carcinoma appears to have a more aggressive clinical behavior than DTC in most patient groups and may respond to thyroid hormone suppression and radioiodine. Anaplastic thyroid carcinoma, which may develop fro...

journal_title：Endocrinology and metabolism clinics of North America

authors： Burman KD,Ringel MD,Wartofsky L

更新日期：1996-03-01 00:00:00

abstract：:Nelson's syndrome (NS) is a condition which may develop in patients with Cushing's disease after bilateral adrenalectomy. Although there is no formal consensus on what defines NS, corticotroph tumor growth and/or gradually increasing ACTH levels are important diagnostic elements. Pathogenesis is unclear and well-estab...

journal_title：Endocrinology and metabolism clinics of North America

authors： Fountas A,Karavitaki N

更新日期：2020-09-01 00:00:00

abstract：:This article addresses the role of insulin resistance in the pathogenesis of type 2 diabetes. The major causes of acquired insulin resistance including aging, pregnancy, lack of physical activity, and obesity are discussed briefly. The role of free fatty acids (FFAs) as a link between obesity and insulin resistance/ty...

journal_title：Endocrinology and metabolism clinics of North America

authors： Boden G

更新日期：2001-12-01 00:00:00

abstract：:In adults, GHD is a clinical syndrome that occurs in patients with pituitary or hypothalamic disease. It may be asymptomatic or present with relatively nonspecific constitutional symptoms. Most patients have abnormal body composition, consisting of increased fat mass and decreased lean mass. Life expectancy is signifi...

journal_title：Endocrinology and metabolism clinics of North America

authors： Stavrou S,Kleinberg DL

更新日期：2001-09-01 00:00:00

abstract：:Duplex/color Doppler sonography (US) is the imaging modality of choice for the evaluation of patients with primary amenorrhea. Careful correlation with clinical history, physical examination and laboratory findings significantly narrows the diagnostic possibilities thus allowing for a more precise diagnosis. This arti...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rosenberg HK

更新日期：2009-12-01 00:00:00

abstract：:Surgical intervention is a necessary part of a multimodal approach to pituitary lesions. This article summarizes the surgical approach to different neoplastic processes affecting the sellar region. ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Chandler WF,Barkan AL

更新日期：2008-03-01 00:00:00

abstract：:Renal artery stenosis, particularly related to advancing atherosclerotic disease, is a common concern to internists seeing patients with worsening hypertension and deteriorating renal function. Understanding the hormonal and hemodynamic consequences of critical vascular lesions allows better selection of antihypertens...

journal_title：Endocrinology and metabolism clinics of North America

authors： Textor SC

更新日期：1994-06-01 00:00:00

abstract：:Male infertility is a common problem but only about one quarter of patients have specific or defined conditions that make them either sterile or severely infertile. About half of these patients have untreatable primary seminiferous tubule failure, and donor insemination or adoption are the only possibilities of having...

journal_title：Endocrinology and metabolism clinics of North America

authors： Baker HW

更新日期：1994-12-01 00:00:00