Diabetic kidney disease and the cardiorenal syndrome: old disease, new perspectives.

abstract：:Low-density lipoprotein cholesterol (LDL-C) level currently is used as the major determinant of lipid- and lipoprotein-associated risk for ischemic cardiovascular disease, and varying levels have become the standard goals of lipid-altering treatment. The predictive value of the LDL-C cholesterol level, however, often ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lau JF,Smith DA

更新日期：2009-03-01 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：:Serum thyroglobulin measurement has greatly facilitated the clinical management of patients with differentiated thyroid cancer and a variety of other thyroid disorders. Thyroglobulin autoantibodies remain a significant obstacle to the clinical use of thyroglobulin measurement. The interpretation of any given thyroglob...

journal_title：Endocrinology and metabolism clinics of North America

authors： Torréns JI,Burch HB

更新日期：2001-06-01 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：:Insulin-dependent diabetes mellitus is associated with a growing number of immune abnormalities. At the time of clinical onset, most patients developing the disease as children or young adults have autoantibodies reactive with islet beta cells. Current autoantibody markers for IDDM are not sufficient to predict the di...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lernmark A,Bärmeier H,Dube S,Hagopian W,Karlsen A,Wassmuth R

更新日期：1991-09-01 00:00:00

abstract：:This article links the understanding of developmental physiology of the adrenal cortex to adrenocortical tumor formation. Many molecular mechanisms that lead to formation of adrenocortical tumors have been discovered via next-generation sequencing approaches. The most frequently mutated genes in adrenocortical tumors ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lodish M

更新日期：2017-06-01 00:00:00

abstract：:Vitamin D insufficiency and deficiency can be diagnosed with measurements of serum 25-hydroxyvitamin D (25OHD). Most vitamin D is derived from sunlight (80%), so serum 25OHD levels are lowest in late winter and early spring. Dietary vitamin D in North America is small, about 100 to 200 IU daily. A recent review of the...

journal_title：Endocrinology and metabolism clinics of North America

authors： Smith LM,Gallagher JC

更新日期：2017-12-01 00:00:00

abstract：:This article discusses the evolution of therapy for type I diabetes and considers how physicians should be thinking about the disease in the late 1990s. The biases herein are that management strategy has evolved such that contemporary practice should routinely entail a system of "flexible intensive therapy" directed a...

journal_title：Endocrinology and metabolism clinics of North America

authors： Skyler JS

更新日期：1997-09-01 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

abstract：:Glucocorticoids are critical in the management of chronic, noninfectious, inflammatory diseases. Bone loss is a most devastating side effect of these powerful medications. Glucocorticoids produce bone loss by altering calcium metabolism, suppressing gonadal hormone production, and inhibiting bone formation. Now that t...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lane NE,Lukert B

更新日期：1998-06-01 00:00:00

abstract：:In the last few years, there have been remarkable advances in the development of new and more sophisticated genetic techniques. These have allowed a better understanding of the molecular mechanisms of genetically determined pediatric endocrine disorders and are paving the way for a radical change in diagnosis and trea...

journal_title：Endocrinology and metabolism clinics of North America

authors： Tenore A,Driul D

更新日期：2009-09-01 00:00:00

abstract：:The notion that Graves' ophthalmopathy is an autoimmune disease has been based primarily on the clinical associations between it and Graves' hyperthyroidism, and on the frequently beneficial response of the disease to immunosuppressive therapy. Recent advances in molecular biology have led to new insights into the pat...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bahn RS

更新日期：2000-06-01 00:00:00

abstract：:The biologic actions of the peptides of the gastrointestinal tract indicate that they exert their effects by interacting with, in many instances, more than one receptor type and receptors on several tissues. Gut hormone profiles in pathophysiologic situations have not demonstrated a significant role for them in diseas...

journal_title：Endocrinology and metabolism clinics of North America

authors： Brown JC

更新日期：1993-12-01 00:00:00

abstract：:The 3243A>G mutation in mitochondrial DNA (mtDNA) is a genetic variant that is associated with a high risk of developing diabetes during life. Enhanced aging of pancreatic beta-cells, a reduced capacity of these cells to synthesize large amounts of insulin,and a resetting of the ATP/ADP-regulated K-channel seem to be ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Maassen JA,Jahangir Tafrechi RS,Janssen GM,Raap AK,Lemkes HH,'t Hart LM

更新日期：2006-06-01 00:00:00

abstract：:The goal of this article is to differentiate the insulin resistance syndrome from the metabolic syndrome. In the case of the insulin resistance syndrome, the abnormalities and clinical syndromes that are increased in prevalence in insulin-resistant individuals have been summarized, with a brief discussion of the causa...

journal_title：Endocrinology and metabolism clinics of North America

authors： Reaven G

更新日期：2004-06-01 00:00:00

abstract：:In this article, new avenues in the understanding of immunologic processes involved in hypothyroidism have been explored. The discovery of a family of TSH-R directed antibodies, including TSI-block, TGI, and TGI-block, has afforded perspectives on the etiology of autoimmune thyroid disorders. Thus, whereas TSI and TSI...

journal_title：Endocrinology and metabolism clinics of North America

authors： Dussault JH,Rousseau F

更新日期：1987-06-01 00:00:00

abstract：:The diagnostic term, idiopathic short stature, has emerged over the past 30 years and refers to children with short stature of unknown etiology. Controversy exists regarding the scope of the diagnosis and options for its treatment. This article reviews origins of the diagnosis idiopathic short stature and current diag...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gubitosi-Klug RA,Cuttler L

更新日期：2005-09-01 00:00:00

abstract：:Underwater weighing has been the gold standard for the measurement of body composition in humans; however, the two formulas widely used, the Siri and Bronze, were developed using young adult white males. The development of newer techniques in the past 20 years has greatly expanded the accuracy and ease of measuring bo...

journal_title：Endocrinology and metabolism clinics of North America

authors： Harsha DW,Bray GA

更新日期：1996-12-01 00:00:00

abstract：:Glucose intolerance and diabetes are common complications of cystic fibrosis (CF), affecting up to 75% of the adult population. This article discusses the prevalence and pathophysiology of glucose tolerance abnormalities in CF, and reviews recent recommendations for diagnosis, screening, and management of CF-related d...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hardin DS,Moran A

更新日期：1999-12-01 00:00:00

abstract：:Prostate cancer is the most frequent cancer in men. A discovery of major importance in the endocrinology of prostate cancer is that the testes contribute only 60% of total androgens in adult men; the remaining 40% are synthesized in peripheral tissues, including the normal and cancerous prostate, from inactive androge...

journal_title：Endocrinology and metabolism clinics of North America

authors： Labrie F

更新日期：1991-12-01 00:00:00

abstract：:Thyroid nodules are extremely common, affecting from 4% to 7% of the population. Fine-needle aspiration biopsy is the most accurate and cost-effective technique for nodule diagnosis. It is simple, safe, and should be the first test used in patient work-up. Routine thyroxine (T4) suppressive therapy is no longer recomm...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gharib H

更新日期：1997-12-01 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：: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：: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

abstract：:Only two drugs are currently approved for long-term use in the treatment of obesity and four others for short-term use. Evaluating the risk-benefit profile is an essential first step. For individuals who have a low body mass index for whom the risk is small, the risk profile must make the drug acceptable for almost ev...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bray GA

更新日期：2008-12-01 00:00:00

abstract：:All organisms must adapt to changing nutrient availability, with nutrient surplus promoting glucose metabolism and nutrient deficit promoting alternative fuels (in mammals, mainly free fatty acids). A major function of glucose-sensing neurons in the hypothalamus is to regulate blood glucose. When these neurons sense g...

journal_title：Endocrinology and metabolism clinics of North America

authors： Moreno C,Yang L,Dacks P,Isoda F,Poplawski M,Mobbs CV

更新日期：2013-03-01 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：: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：:Historically, systemic therapies for advanced, metastatic thyroid carcinomas have been poorly effective. However, as a result of a confluence of increasing knowledge of the biologic basis for thyroid cancer development and progression, identification of therapeutic agents that could target these biologic abnormalities...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sherman SI

更新日期：2008-06-01 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