Diagnosis and management of growth hormone deficiency in adults.

abstract：:A series of investigations have emphasized the heterogeneous nature of the clinical condition known as PCOS and have delineated several factors that may contribute to the hyperandrogenemia and anovulation in this condition. Currently, it remains unclear whether intrinsic abnormalities of ovarian steroidogenesis, the e...

journal_title：Endocrinology and metabolism clinics of North America

authors： Marshall JC,Eagleson CA

更新日期：1999-06-01 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：:Congenital cryptorchidism, that is, undescended testis, is one of the most common urogenital abnormalities observed in newborn boys. In addition to the congenital form, there is also acquired form of cryptorchidism. Fertility potential of patients with cryptorchidism has been evaluated by testicular histology and volu...

journal_title：Endocrinology and metabolism clinics of North America

authors： Virtanen HE,Toppari J

更新日期：2015-12-01 00:00:00

abstract：:All of the actions of atrial natriuretic factor (ANF) can be explained on the basis of ANF's interaction with specific receptors on the plasma membrane of cells in target tissues. These receptors have been identified. Binding to these receptors by ANF is time dependent and specific and occurs with high affinity. Numer...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jacobs JW,Vlasuk GP,Rosenblatt M

更新日期：1987-03-01 00:00:00

abstract：:Establishing the cause of Cushing's syndrome (CS) is one of the most challenging processes in clinical endocrinology. Biochemical testing, including measurement of plasma adrenocorticotropin (ACTH), high-dose dexamethasone suppression, and corticotropin-releasing hormone stimulation testing, is integral to the differe...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lindsay JR,Nieman LK

更新日期：2005-06-01 00:00:00

abstract：:Cardiovascular disease is a serious complication of diabetes mellitus. In the last 2 decades, great strides have been made in reducing microvascular complications in patients with diabetes through improving glycemic control. Decreasing rates of cardiovascular events have proved to be more difficult than simply intensi...

journal_title：Endocrinology and metabolism clinics of North America

authors： Szuszkiewicz-Garcia MM,Davidson JA

更新日期：2014-03-01 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：:An approach to the diagnosis and follow-up of patients with osteoporosis is described. A system of classification of vertebral fractures is outlined, and the relative merits of different techniques for bone mineral density are discussed. The importance of identifying factors that accelerate bone loss is stressed. The ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Eastell R,Riggs BL

更新日期：1988-09-01 00:00:00

abstract：:Neuroendocrine tumors (NETs) are rare neoplasms found in diverse locations within the body. These tumors are commonly classified by the primary tumor's location, further subclassified by their differentiation, and finally segregated by their ability to hypersecrete peptides or amines. A number of groups have summarize...

journal_title：Endocrinology and metabolism clinics of North America

authors： Joseph S,Wang YZ,Boudreaux JP,Anthony LB,Campeau R,Raines D,O'Dorisio T,Go VL,Vinik AI,Cundiff J,Woltering EA

更新日期：2011-03-01 00:00:00

abstract：:With apparent failure of SU drug therapy, the management of NIDDM patients becomes even more challenging. The following sequence of actions is recommended. 1. Situational dietary noncompliance (eg, a prolonged vacation or a recent period of family or occupational stress) should be treated first by renewed regular cont...

journal_title：Endocrinology and metabolism clinics of North America

authors： Genuth S

更新日期：1992-06-01 00:00:00

abstract：:In this article, an overview is presented of hypophysitis in terms of current clinical and experimental findings, with discussion of the anatomic and histopathologic classification of primary hypophysitis and factors associated with secondary hypophysitis. In addition, discusses the pathophysiology, clinical features,...

journal_title：Endocrinology and metabolism clinics of North America

authors： Fukuoka H

更新日期：2015-03-01 00:00:00

abstract：:Obesity in adults is associated with excess mortality and excess risk of coronary heart disease, hypertension, hyperlipidemia, diabetes, gallbladder disease, certain cancers, and osteoarthritis. Overweight children often become overweight adults, and overweight in adulthood is a health risk. Although childhood overwei...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ogden CL,Carroll MD,Flegal KM

更新日期：2003-12-01 00:00:00

abstract：:Adrenal venous sampling is the gold standard test to identify surgically curable primary aldosteronism, but it is markedly underused in clinical practice being perceived as a technically challenging and invasive procedure and, moreover, as difficult to interpret. This review provides updated information on current ind...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rossi GP,Maiolino G,Seccia TM

更新日期：2019-12-01 00:00:00

abstract：:Medullary thyroid carcinoma (MTC) is a rare type of thyroid cancer, demonstrating variable behavior from indolent disease to highly aggressive, progressive disease. There are distinguishing phenotypic features of sporadic and hereditary MTC. Activation or overexpression of cell surface receptors and up-regulation of i...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hu MI,Ying AK,Jimenez C

更新日期：2014-06-01 00:00:00

abstract：:The last 2 decades have seen tremendous growth in understanding the clinical characteristics of various childhood bone disorders, their mechanisms and natural histories, and their responses to treatment. In this review, the authors describe advances in bone assessment techniques for children. In addition, they provide...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ward LM,Konji VN

更新日期：2020-12-01 00:00:00

abstract：:Rates of obesity counseling are low among physicians because of the lack of time and training in this area. In recognition of this challenge, recent national guidelines encourage physicians to refer patients with obesity to intensive, comprehensive lifestyle programs to lose weight. Some commercial weight-loss program...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gudzune KA,Clark JM

更新日期：2020-06-01 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：:Skin manifestations associated with diabetes mellitus are common and, with close scrutiny, can occur in most, if not all, patients. Little information is available on what common pathophysiologic thread is responsible for the skin manifestation and diabetes. Although controlled studies are lacking, a recognition of th...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sibbald RG,Landolt SJ,Toth D

更新日期：1996-06-01 00:00:00

abstract：:Identifying patients with a high risk of fracture and monitoring a patient's therapeutic response are important. Current methods to evaluate the risk of fracture include the measurement of bone mineral density as well as other risk factors, including those associated with the risk of falling. Several considerations ar...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sowers M

更新日期：1997-03-01 00:00:00

abstract：:This systematic review highlights the uncertainty about the safety and efficacy of glucocorticoid withdrawal in many chronic diseases, elucidating the need for further research in this area. The problem of glucocorticoid withdrawal seems to be good example for wide variation in physicians' approaches to weaning patien...

journal_title：Endocrinology and metabolism clinics of North America

authors： Richter B,Neises G,Clar C

更新日期：2002-09-01 00:00:00

abstract：:Although biotechnology has provided physicians with essentially unlimited supplies of growth hormone (GH), there are currently only a few clear-cut indications for exogenous GH therapy. Data now support the use of GH in the treatment of children with GH deficiency and short girls with Turner syndrome. Tantalizing prel...

journal_title：Endocrinology and metabolism clinics of North America

authors： Wilson DM

更新日期：1992-09-01 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：:Serum prolactin is reliably elevated by the antipsychotic drugs. Prolactin levels have been followed in psychotic patients during the use of these drugs as an indicator of underlying pathophysiology or as a reflection of drug activity. Considerable research is underway to elucidate further the potential clinical and r...

journal_title：Endocrinology and metabolism clinics of North America

authors： Green AI,Brown WA

更新日期：1988-03-01 00:00:00

abstract：:Adrenocortical carcinoma (ACC) is rare but one of the most malignant endocrine tumors. This article reviews and summarizes the current knowledge about the treatment of ACC. The epidemiology and molecular events involved in the pathogenesis of ACC are briefly outlined. The different diagnostic tools to distinguish beni...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ranvier GG,Inabnet WB 3rd

更新日期：2015-06-01 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：:The study of genetic syndromes associated with adrenocortical tumors (Beckwith-Wiedemann, Li-Fraumeni, McCune-Albright, Carney, and multiple endocrine neoplasia type 1) has shed light on the molecular basis of tumorigenesis. Abnormalities at the 11p15 locus appear as crucial and frequent events found specifically in m...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gicquel C,Bertherat J,Le Bouc Y,Bertagna X

更新日期：2000-03-01 00:00:00

abstract：:Two biproducts of the revolution in diagnostic imaging techniques are unintended discoveries, and uncertainty for the patient and the clinician. To address the uncertainty associated with adrenal incidentalomas, clinicians need to understand the definition, differential diagnosis, and options for assessment with respe...

journal_title：Endocrinology and metabolism clinics of North America

authors： Young WF Jr

更新日期：2000-03-01 00:00:00

abstract：:Glucocorticoid-remediable aldosteronism (GRA) is a hereditary form of primary hyperaldosteronism and the most common monogenic cause of hypertension. A chimeric gene duplication leads to ectopic aldosterone synthase activity in the cortisol-producing zona fasciculata of the adrenal cortex, under the regulation of adre...

journal_title：Endocrinology and metabolism clinics of North America

authors： Halperin F,Dluhy RG

更新日期：2011-06-01 00:00:00

abstract：:Elevated plasma concentrations of lipoprotein(a) (Lp[a]) are an emerging risk factor for the development of coronary heart disease (CHD). Recent genetic and epidemiologic data have provided strong evidence for a causal role of Lp(a) in CHD. Despite these developments, which have attracted increasing interest from clin...

journal_title：Endocrinology and metabolism clinics of North America

authors： Koschinsky ML,Boffa MB

更新日期：2014-12-01 00:00:00

abstract：:Diuretics and beta-blockers have a strong tendency to affect serum lipids adversely, whereas the peripherally acting alpha-blocking agents consistently result in beneficial effects. Most of the other antihypertensive agents (calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists, and drugs that ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Donahoo WT,Kosmiski LA,Eckel RH

更新日期：1998-09-01 00:00:00