The role of molecular genetics in screening for multiple endocrine neoplasia type 1.

abstract：:A small abut important subset of patients with differentiated thyroid cancer will die of disease. Our approach to therapy treats almost all patients similarly, with aggressive surgery and I-131 therapy. Meticulous follow-up should include multiple I-131 diagnostic scans using at least 5 to 10 mCi of I-131 with attenti...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sweeney DC,Johnston GS

更新日期：1995-12-01 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：: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：:Adrenal disorders may manifest during pregnancy de novo, or before pregnancy undiagnosed or diagnosed and treated. Adrenal disorders may present as hormonal hypofunction or hyperfunction, or with mass effects or other nonendocrine effects. Pregnancy presents special problems in the evaluation of the hypothalamic-pitui...

journal_title：Endocrinology and metabolism clinics of North America

authors： Abdelmannan D,Aron DC

更新日期：2011-12-01 00:00:00

abstract：:The degree of hyperglycemia may be an important predictor of morbidity and mortality among patients with MI or stroke, and in those undergoing surgical procedures including coronary artery bypass. Hyperglycemia should be aggressively controlled from the time of hospital admission regardless of the patient's primary me...

journal_title：Endocrinology and metabolism clinics of North America

authors： Levetan CS,Magee MF

更新日期：2000-12-01 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：: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：: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：: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：: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：: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：: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：:Combined clinical and laboratory investigations of MEN-1 have resulted in an increased understanding of this disorder, which may be inherited as an autosomal dominant condition. Defining the features of each disease manifestation in MEN-1 has improved patient management and treatment and has facilitated a screening pr...

journal_title：Endocrinology and metabolism clinics of North America

authors： Thakker RV

更新日期：2000-09-01 00:00:00

abstract：:Specific lesions of the growth hormone (GH)/insulin-like growth factor (IGF) axis have been identified in humans, each of which has distinctive auxologic and biochemical features. Measures of circulating IGF-I are useful in diagnosing growth disorders in childhood and in evaluating response to GH therapy. Recombinant ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Backeljauw PF,Chernausek SD

更新日期：2012-06-01 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 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：: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：:Diseases in other organs may impair the male reproductive system. Acute critical conditions such as severe trauma, surgery, myocardial infarction, burns, liver failure, intoxication, or starvation are associated with suppression of gonadotropin secretion and secondary hypogonadism. With chronic illnesses, a primary te...

journal_title：Endocrinology and metabolism clinics of North America

authors： Baker HW

更新日期：1998-12-01 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：:A number of morphologic and physiologic changes accompany pregnancy such as an increase in lactotrophs and prolactin production, and a decrease in gonadotropins and GH. The hormonal milieu can affect patients with prolactinomas, especially macroadenomas, to cause an increase in size in a minority of patients. Complica...

journal_title：Endocrinology and metabolism clinics of North America

authors： Prager D,Braunstein GD

更新日期：1995-03-01 00:00:00

abstract：:Approximately 70% of patients who form metabolic stones have the idiopathic calcium oxalate urolithiasis syndrome, which is diagnosed by exclusion of other identifiable metabolic abnormalities. This article reviews the classification, risk factors, and treatment options for those patients with this syndrome. ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Smith LH

更新日期：1990-12-01 00:00:00

abstract：:Somatostatin receptor ligands (octreotide and lanreotide) are currently first-line pharmacotherapy for patients with acromegaly in whom surgery fails to control the disease or cannot be considered. The efficacy of a new pan somatostatin receptor ligand, pasireotide, has been investigated as a potential treatment of ac...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ben-Shlomo A

更新日期：2015-03-01 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：: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：: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：: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：: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：: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：:This article summarizes the main principles for the appropriate use of laboratory testing in the diagnosis and management of thyroid disorders, as well as controversies that have arisen in association with some of these biochemical tests. To place a test in perspective, its sensitivity and accuracy should be taken int...

journal_title：Endocrinology and metabolism clinics of North America

authors： Esfandiari NH,Papaleontiou M

更新日期：2017-09-01 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