Pharmacotherapy for acromegaly: future role for pasireotide?

abstract：:Neuroendocrine tumors (NETs) are rare, slow-growing neoplasms characterized by their ability to store and secrete different peptides and neuroamines. Some of these substances cause specific clinical syndromes whereas others are not associated with specific syndromes or symptom complexes. NETs usually have episodic exp...

journal_title：Endocrinology and metabolism clinics of North America

authors： Vinik AI,Gonzales MR

更新日期：2011-03-01 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：:Pheochromocytomas cause the most dramatic life-threatening crises in all of endocrinology. Pheochromocytoma is an explosive clinical syndrome that may be characterized by either severe hypertension associated with cerebral, cardiac, and renal complications or hypotension, or even shock and sudden death. Other emergenc...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bravo EL,Gifford RW Jr

更新日期：1993-06-01 00:00:00

abstract：:Lipoproteins are spherical macromolecular complexes in which hydrophobic molecules of triglyceride and cholesteryl ester are enveloped within a monolayer of amphipathic molecules of phospholipids, free cholesterol, and apoproteins. The major lipoprotein classes include intestinally derived chylomicrons that transport ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ginsberg HN

更新日期：1998-09-01 00:00:00

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：: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 congenital adrenal hyperplasia (CAH) caused by a deficiency of 21-hydroxylase, which represents 90% of all cases of CAH. As in other genetic disorders of metabolism, the symptoms of CAH are related to both the decrease of the final products of metabolism and the accumulation of precursors that a...

journal_title：Endocrinology and metabolism clinics of North America

authors： Migeon CJ,Donohoue PA

更新日期：1991-06-01 00:00:00

abstract：:Glucocorticoids mainly act through binding to cytosolic receptors that translocate to the nucleus after ligand binding, and dimerize to affect gene transcription in multiple fashions. The liganded receptors may interact with DNA at specific glucocorticoid responsive-elements, may physically hinder the ability of other...

journal_title：Endocrinology and metabolism clinics of North America

authors： Yanovski JA,Cutler GB Jr

更新日期：1994-09-01 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：: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 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：:In the last 2 decades, diabetes technology has emerged as a branch of diabetes management thanks to the advent of continuous glucose monitoring (CGM) and increased availability of continuous subcutaneous insulin infusion systems, or insulin pumps. These tools have progressed from rudimentary instruments to sophisticat...

journal_title：Endocrinology and metabolism clinics of North America

authors： Kravarusic J,Aleppo G

更新日期：2020-03-01 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 several objectives to be achieved during the diagnostic evaluation of a male partner of an infertile partnership. The first is to identify whether or not there is a male factor present and, if so, whether this is attributable to an underlying medical illness. The second is to identify the cause of reduced ma...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jarow JP

更新日期：2007-06-01 00:00:00

abstract：:The Athlete Biological Passport (ABP) is an individual electronic document that collects data regarding a specific athlete that is useful in differentiating between natural physiologic variations of selected biomarkers and deviations caused by artificial manipulations. A subsidiary of the endocrine module of the ABP, ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sottas PE,Saugy M,Saudan C

更新日期：2010-03-01 00:00:00

abstract：:Glucocorticoid-induced bone loss has been recognized for almost 50 years, yet it remains an important medical problem and a common cause of fracturing. Loss of skeletal mass may occur early in the course of glucocorticoid therapy and appears to be related to the cumulative dose of steroid, as well as to the usual risk...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hodgson SF

更新日期：1990-03-01 00:00:00

abstract：:Unlike other pituitary hormones, PRL is under tonic inhibition by the hypothalamus by way of the PRL inhibitory factor, dopamine. GAP and GABA may also be inhibitory. PRL-releasing factors include TRH and VIP and possibly others. Circulating PRL is predominantly monomeric, although some patients with hyperprolactinemi...

journal_title：Endocrinology and metabolism clinics of North America

authors： Molitch ME

更新日期：1992-12-01 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：:Hypergonadotropic forms of amenorrhea in young women are many and varied, and the disorder is not nearly as uncommon as previously believed. It is likely that all physicians seeing women with amenorrhea will encounter this disorder. Careful evaluation is warranted to eliminate any associated autoimmune disorders. Beca...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rebar RW,Cedars MI

更新日期：1992-03-01 00:00:00

abstract：:Acromegaly is an unusual insidious but potentially serious chronic pituitary disorder. The delay in diagnosis results not only in unique somatic disfigurement but is also associated with significant mental and emotional dysfunction. This article reviews and describes some of these nonclassic and often overlooked featu...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ezzat S

更新日期：1992-09-01 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：:Conventional therapy of hypoparathyroidism consists of oral calcium and either activated vitamin D or vitamin D supplements at varying doses. Although adjusting dosing of calcium and/or activated vitamin D or vitamin D itself, the serum calcium should be obtained weekly or monthly depending on the clinical situation. ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Babey M,Brandi ML,Shoback D

更新日期：2018-12-01 00:00:00

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：:Statins are widely used in secondary and primary prevention of atherosclerotic cardiovascular disease. They reduce cardiovascular events and mortality, and have an excellent safety record. Recent case reports suggest a possible association between statins and adverse effects on cognition. This article reviews recent l...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rojas-Fernandez C,Hudani Z,Bittner V

更新日期：2016-03-01 00:00:00

abstract：:The immune system, through a complex interplay of highly specialized cells and a seemingly endless number of soluble mediators, works to ensure protection from the potentially harmful pathogens that we encounter in our lifetime. The development of the immune system is a compromise between the necessity to recognize fo...

journal_title：Endocrinology and metabolism clinics of North America

authors： Robles DT,Eisenbarth GS

更新日期：2002-06-01 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：: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：:Nonneoplastic and neoplastic proliferative lesions of endocrine cells of the gastrointestinal tract are detailed. A multistep continuum from hyperplasia, dysplasia to neoplasia is identified for histamine-producing enterochromaffin-like (ECL) cells of the gastric corpus. Most gastric neuroendocrine tumors (NETs) are s...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rindi G,Inzani F,Solcia E

更新日期：2010-12-01 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：:The autoimmune polyendocrinopathy syndromes are variable in presentation and can be challenging to diagnose and manage. Diagnosis of the type 1 autoimmune polyendocrinopathy syndrome can be difficult at an early age when often only one manifestation is present, and it may take years for others to appear. Increased awa...

journal_title：Endocrinology and metabolism clinics of North America

authors： Owen CJ,Cheetham TD

更新日期：2009-06-01 00:00:00