Effects of irradiation on the thyroid gland.

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：: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：: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：:The familial and genetic nature of multiple endocrine neoplasia type 1 (MEN 1) syndrome was first pointed out by Wermer in 1954, who suggested that an autosomal dominant gene with high penetrance controls the trait. The clinical picture is variable, depending mainly on which glands are involved and whether the tumors ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Larsson C,Friedman E

更新日期：1994-03-01 00:00:00

abstract：:Primary aldosteronism used to be considered a rare cause of secondary hypertension. However, accruing evidence indicates that primary aldosteronism is more common than previously recognized. The implications of this increased prevalence are important to public health because autonomous aldosterone production contribut...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hundemer GL,Vaidya A

更新日期：2019-12-01 00:00:00

abstract：:Osteoporosis and diabetes mellitus are chronic diseases with significant associated morbidity and mortality. Recent evidence suggests that both type 1 and type 2 diabetes are associated with an increased fracture risk. Fracture as a complication of diabetes must be considered when evaluating and treating patients with...

journal_title：Endocrinology and metabolism clinics of North America

authors： Kurra S,Fink DA,Siris ES

更新日期：2014-03-01 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：:Endocrinologists may be challenged not only by the great diversity of rare heritable metabolic bone diseases, but also by an unusual array of genetically transmitted skeletal dysplasias. The striking impact that many such skeletal dysplasias have on bone leads physicians naturally to question whether there is a metabo...

journal_title：Endocrinology and metabolism clinics of North America

authors： Whyte MP

更新日期：1990-03-01 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：: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：: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：:This article covers considerations in the etiologies and therapy of hypercalcemia. The differential diagnosis of hypercalcemia is discussed, with particular emphasis on primary hyperparathyroidism and the hypercalcemia of malignancy. Clinical features of hypercalcemia are also discussed. Therapy of hypercalcemia is co...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bilezikian JP

更新日期：1989-06-01 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：:The liver is key to glucose homeostasis. Any disruption of its metabolism, structural integrity, or intracellular dynamics may alter the liver's ability to maintain normal glucose homeostasis. When such disruption affects hepatic glucose output, hypoglycemia may eventuate. Multiple drugs including alcohol may alter th...

journal_title：Endocrinology and metabolism clinics of North America

authors： Arky RA

更新日期：1989-03-01 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：: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：: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：:CD4 + CD25 + regulatory T (TR) lymphocytes are essential to the maintenance of immunologic tolerance in the host. The discovery of Foxp3 as a transcription factor essential to the differentiation of TR ushered in detailed studies of the molecular mechanisms of TR cell development, peripheral homeostasis, and effector ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Chatila TA

更新日期：2009-06-01 00:00:00

abstract：:The gene causing MEN 1 has been localized to chromosome 11, band 11q13, by tumor deletion mapping studies and by family linkage studies. Molecular genetic markers flanking the MEN 1 gene have been defined, and they are of use in identifying disease gene carriers in a family. These individuals, who are at a high risk o...

journal_title：Endocrinology and metabolism clinics of North America

authors： Thakker RV

更新日期：1994-03-01 00:00:00

abstract：:Urinary stone disease is the only clinical presentation in patients with cystinuria. Two genes have been associated with type I (SLC3A1) and non-type I (SLC7A9) cystinuria and multiple mutations of these genes have been identified. The type I form is completely recessive while the non-type I form is incompletely reces...

journal_title：Endocrinology and metabolism clinics of North America

authors： Shekarriz B,Stoller ML

更新日期：2002-12-01 00:00:00

abstract：:Raloxifene, the first of the second-generation of SERMs to be widely available, represents a significant improvement over tamoxifen. It prevents postmenopausal bone loss and reduces the incidence of vertebral fractures and of new breast cancer cases in osteoporotic patients without stimulating the endometrium. The sug...

journal_title：Endocrinology and metabolism clinics of North America

authors： Fontana A,Delmas PD

更新日期：2003-03-01 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：: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：: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：:The actions of the vitamin D hormone 1,25-dihydroxyvitamin D(3) (1,25(OH)(2)D(3)) are mediated by the vitamin D receptor (VDR), a ligand-activated transcription factor that functions to control gene expression. After ligand activation, the VDR binds directly to specific sequences located near promoters and recruits a ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Pike JW,Meyer MB

更新日期：2010-06-01 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：: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：: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：:In summary, patients who will remain on glucocorticoids for more than a few weeks are clearly at risk for osteoporosis. A list of therapeutic strategies is provided in Table 2. While our therapy remains inadequate at this time, newer agents are on the horizon. In the near future, it may be possible to recommend specif...

journal_title：Endocrinology and metabolism clinics of North America

authors： Adler RA,Rosen CJ

更新日期：1994-09-01 00:00:00