abstract：:The last 2 decades have seen tremendous growth in understanding the clinical characteristics of various childhood bone disorders, their mechanisms and natural histories, and their responses to treatment. In this review, the authors describe advances in bone assessment techniques for children. In addition, they provide...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ward LM,Konji VN

更新日期：2020-12-01 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：: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：: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：: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：:Adrenal venous sampling is the gold standard test to identify surgically curable primary aldosteronism, but it is markedly underused in clinical practice being perceived as a technically challenging and invasive procedure and, moreover, as difficult to interpret. This review provides updated information on current ind...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rossi GP,Maiolino G,Seccia TM

更新日期：2019-12-01 00:00:00

abstract：:Hyperglycemia is common during pregnancy, involving multisystem adaptations. Pregnancy-induced metabolic changes increase insulin resistance. Pregnancy-induced insulin resistance adds to preexisting insulin resistance. Preexisting pancreatic β-cell defect compromises the ability to enhance insulin secretion, leading t...

journal_title：Endocrinology and metabolism clinics of North America

authors： Kapur A,McIntyre HD,Hod M

更新日期：2019-09-01 00:00:00

abstract：:Transgender persons receiving gender-affirming hormone therapy and procedures may face specific skin conditions. Skin diseases in transgender patients often are underdiagnosed and underrecognized despite their important impact on quality of life and mental health. This article discusses pathophysiology, diagnosis, and...

journal_title：Endocrinology and metabolism clinics of North America

authors： Yeung H,Kahn B,Ly BC,Tangpricha V

更新日期：2019-06-01 00:00:00

abstract：:The prevalence of low-risk differentiated thyroid cancer (DTC) is dramatically increasing because of superior diagnostic imaging technologies. Remote-access endoscopic thyroidectomy is becoming more popular for the lack of a noticeable neck scar. Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) is the ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jongekkasit I,Jitpratoom P,Sasanakietkul T,Anuwong A

更新日期：2019-03-01 00:00:00

abstract：:Thyroid cancer is the most common endocrine malignancy. Its incidence and mortality rates have increased for patients with advanced-stage papillary thyroid cancer. The characterization of the molecular pathways essential in thyroid cancer initiation and progression has made huge progress, underlining the role of intra...

journal_title：Endocrinology and metabolism clinics of North America

authors： Valvo V,Nucera C

更新日期：2019-03-01 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：: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：:Based on the 2010 version, the 2017 World Health Organization (WHO 2017) classification is for pancreatic neuroendocrine neoplasms (PanNEN). The WHO 2017 classification introduces the novel well-differentiated neuroendocrine tumor of high grade (NET G3). A sharp distinction between NET and poorly differentiated neuroe...

journal_title：Endocrinology and metabolism clinics of North America

authors： Inzani F,Petrone G,Rindi G

更新日期：2018-09-01 00:00:00

abstract：:Surgical approaches to hepatic metastases occupy an important role in the management of patients with neuroendocrine neoplasms and may have curative or palliative intentions. Resection of hepatic disease with curative intent is the only modality offering potential cure for patients with liver metastases; however, only...

journal_title：Endocrinology and metabolism clinics of North America

authors： Frilling A,Clift AK

更新日期：2018-09-01 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：:Hypertension is an important and modifiable risk factor for the macrovascular and microvascular complications of diabetes. Prior literature outlines the significance of lowering blood pressure and subsequent cardiovascular and microvascular benefits. Blood pressure targets of less than 140/90 mm Hg are recommended in ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Dojki FK,Bakris GL

更新日期：2018-03-01 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 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：: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：:Trabecular bone score (TBS) is a novel method that assesses skeletal texture from spine dual-energy X-ray absorptiometry (DXA) images. TBS improves fracture-risk prediction beyond that provided by DXA bone mineral density (BMD) and clinical risk factors, and can be incorporated to the Word Health Organization Fracture...

journal_title：Endocrinology and metabolism clinics of North America

authors： Silva BC,Leslie WD

更新日期：2017-03-01 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：:Lifestyle modification is the cornerstone treatment of type 2 diabetes in the obese patient, and is highly effective at promoting glucose regulation. However, many individuals struggle over time to maintain optimal glycemic control and/or body weight with lifestyle modification. Therefore, additional therapeutic appro...

journal_title：Endocrinology and metabolism clinics of North America

authors： Malin SK,Kashyap SR

更新日期：2016-09-01 00:00:00

abstract：:Over the past 40 years, meal skipping and snacking in US adults have increased, and currently most eating occasions occur later in the day than previously. Whether these changes have played a causal role in the obesity epidemic is poorly understood. Observational studies are largely inconclusive due to methodological ...

journal_title：Endocrinology and metabolism clinics of North America

authors： McCrory MA,Shaw AC,Lee JA

更新日期：2016-09-01 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：: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：: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：:Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone tissue leading to decreased bone strength and an increased risk of low-energy fractures. Central dual-energy X-ray absorptiometry measurements are the gold standard for determining bone mineral density. Bone loss is an inevitab...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lupsa BC,Insogna K

更新日期：2015-09-01 00:00:00

abstract：:The human adult adrenal cortex is composed of the zona glomerulosa (zG), zona fasciculata (zF), and zona reticularis (zR), which are responsible for production of mineralocorticoids, glucocorticoids, and adrenal androgens, respectively. The final completion of cortical zonation in humans does not occur until puberty w...

journal_title：Endocrinology and metabolism clinics of North America

authors： Xing Y,Lerario AM,Rainey W,Hammer GD

更新日期：2015-06-01 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：: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：: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：: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：:The pathogenesis of atherosclerosis in human immunodeficiency virus (HIV)-infected individuals is incompletely understood and appears to be multifactorial. Proatherogenic changes in blood and tissue lipids are associated with an increased risk of cardiovascular disease among HIV-infected subjects, and these changes ma...

journal_title：Endocrinology and metabolism clinics of North America

authors： Kelesidis T,Currier JS

更新日期：2014-09-01 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

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：: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：:In this article, the literature is reviewed regarding the role of blood pressure variability and nocturnal nondipping of blood pressure as well as the presence of diabetic kidney disease (DKD), in the absence of albuminuria, as risk predictors for progressive DKD. The importance of glycemic and blood pressure control ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jindal A,Garcia-Touza M,Jindal N,Whaley-Connell A,Sowers JR

更新日期：2013-12-01 00:00:00

abstract：:The interface between thyroid hormone action and neuropsychiatric function is intricate, and several mechanisms of thyroid hormone uptake into brain tissues, hormone activation, and influences on neurotransmitter generation have been identified. Symptoms of hypothyroidism are nonspecific, whereas those attributed to t...

journal_title：Endocrinology and metabolism clinics of North America

authors： Feldman AZ,Shrestha RT,Hennessey JV

更新日期：2013-09-01 00:00:00

abstract：:Normal sleep is characterized both by reduced glucose turnover by the brain and other metabolically active tissues, and by changes in glucose tolerance. Sleep duration has decreased over the last several decades; data suggest a link between short sleep duration and type 2 diabetes. Obstructive sleep apnea (OSA) result...

journal_title：Endocrinology and metabolism clinics of North America

authors： Mesarwi O,Polak J,Jun J,Polotsky VY

更新日期：2013-09-01 00:00:00

abstract：:Aging in men is associated with a decrease in serum testosterone levels due to attrition in testicular Leydig cells and slowing of the hypothalamic GnRH pulse generator. The practicing endocrinologist is frequently consulted for consideration of testosterone therapy in older men with late-onset hypogonadism (LOH), a c...

journal_title：Endocrinology and metabolism clinics of North America

authors： Basaria S

更新日期：2013-06-01 00:00:00