Adrenal Venous Sampling: Where Do We Stand?

abstract：:Osteoporosis is prevalent in transplant recipients and is related to pre- and post-transplantation factors. Low bone density and fractures may antedate transplantation, related to traditional risk factors for osteoporosis, effects of chronic illness, and end-stage organ failure and its therapy, on the skeleton. Bone l...

journal_title：Endocrinology and metabolism clinics of North America

authors： Stein E,Ebeling P,Shane E

更新日期：2007-12-01 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：: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：: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：: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：: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：: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 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

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：:To make a diagnosis of insulinoma, one must consider it. Neuroglycopenic symptoms are the most prominent and convincing, and the combination of hypoglycemia and endogenous hyperinsulinemia are diagnostic of insulinoma. A glucose level of approximately 40 mg/dL with a concomitant insulin level of 6 microU/mL, a C-pepti...

journal_title：Endocrinology and metabolism clinics of North America

authors： Grant CS

更新日期：1999-09-01 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：: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：:Insulin resistance in skeletal muscle is a major hallmark of type 2 diabetes mellitus (T2D) and obesity that is characterized by impaired insulin-mediated glucose transport and glycogen synthesis and by increased intramyocellular content of lipid metabolites. Several studies have provided evidence for mitochondrial dy...

journal_title：Endocrinology and metabolism clinics of North America

authors： Højlund K,Mogensen M,Sahlin K,Beck-Nielsen H

更新日期：2008-09-01 00:00:00

abstract：:This review has highlighted some of the experimental studies in animals and humans that have shown an important link between dietary change and atherosclerosis. This relationship was further supported by population studies showing a key role for saturated fat intake in the determination of serum cholesterol level and ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Stone NJ

更新日期：1990-06-01 00:00:00

abstract：:This review provides an overview of the safety of growth hormone replacement therapy in individuals previously treated for cancer. The review focuses on the risk of disease recurrence and second neoplasm occurrence with special attention to data on childhood cancer survivors. ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Chemaitilly W,Robison LL

更新日期：2012-12-01 00:00:00

abstract：:Well differentiated thyroid cancer (DTC) in children is characterized by a high rate of response to treatment and low disease-specific mortality. Treatment of children with DTC has evolved toward a greater reliance on evaluation and monitoring with serial serum thyroglobulin measurements and ultrasound examinations. R...

journal_title：Endocrinology and metabolism clinics of North America

authors： Machac J

更新日期：2016-06-01 00:00:00

abstract：:Endocrinopathies are significant consequences of the treatment of childhood cancers. The risk of developing these adverse events is related to the underlying disease and its treatment with cytotoxic agents and radiation therapy. This article reviews hypothalamic-pituitary, thyroid, and gonadal dysfunction, as well as ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Cohen LE

更新日期：2005-09-01 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：:Prolactin-secreting pituitary tumors are not rare. The diagnosis of a patient with hyperprolactinemia and possible tumor should be carried out in an orderly fashion by first excluding secondary causes. If the patient has pathologic hyperprolactinemia, assessment of pituitary anatomy with a high resolution CT scan (or ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Vance ML,Thorner MO

更新日期：1987-09-01 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：:Adrenocortical carcinoma (ACC) is a rare and aggressive tumor. ACC may be associated with different syndromes of hormone excess, most frequently Cushing's syndrome with or without hypersecretion of androgens. Recent data suggest that cortisol excess is a negative prognostic factor in advanced and localized ACC. Surger...

journal_title：Endocrinology and metabolism clinics of North America

authors： Puglisi S,Perotti P,Pia A,Reimondo G,Terzolo M

更新日期：2018-06-01 00:00:00

abstract：:Acute hyperkalemia can be a life-threatening consequence of a variety of pathologic, pharmacologic, and iatrogenic disorders. Recognition and prompt therapy often reverse the electrophysiologic complications within minutes. Therefore, physicians must have a thorough understanding of potassium homeostasis. The causes o...

journal_title：Endocrinology and metabolism clinics of North America

authors： Clark BA,Brown RS

更新日期：1995-09-01 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：: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：: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：: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：:This article explores many of the ophthalmologic aspects of thyroid-related orbitopathy. The eight main areas of clinical concern--ocular comfort, optic nerve function, exophthalmos, eyelid position, diplopia, cosmesis, soft-tissue signs, and psychologic factors--are discussed so that practitioners may be more secure ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gladstone GJ

更新日期：1998-03-01 00:00:00

abstract：:With modern growth hormone (GH) replacement algorithms, children with a diagnosis of growth hormone deficiency achieve at the end of pediatric GH treatment an adult height that is on the average in the normal range. Recent experience with GH replacement in young adults with childhood-onset growth hormone deficiency, h...

journal_title：Endocrinology and metabolism clinics of North America

authors： Attanasio AF,Shalet SM

更新日期：2007-03-01 00:00:00

abstract：:The regulation of energy balance is enormously complex, with numerous genetic, hormonal, neural/behavioral, and societal influences. Although the current epidemic of obesity has its underpinnings in the changes in culture during the last half century, the role of the neuroendocrine system in the genesis of obesity is ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lustig RH

更新日期：2001-09-01 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