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Endocrinology and Metabolism Clinics of North America 1993: Vol 22 Index PDF

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Preview Endocrinology and Metabolism Clinics of North America 1993: Vol 22 Index

CUMULATIVE INDEX 1993 Volume 22 March NEUROENDOCRINOLOGY II, pages 1-180 June ENDOCRINE CRISES, pages 181-453 September ADOLESCENT ENDOCRINOLOGY, pages 455-707 December GASTROINTESTINAL HORMONES IN MEDICINE, pages 709-971 Note: Page numbers of issue and article titles are in boldface type Acid-base, abnormalities of, in diabetic Adrenal cortex, in pregnancy, adrenal ketoacidosis, 192-193 insufficiency in, 659-660 Acidosis, lactic, in alcoholic ketoacidosis, congenital adrenal hyperplasia and, 212, 215 661 Acne, in adolescent girls, 507-532. See also Cushing’s syndrome and, 658-659 Androgen; Hyperandrogenism, in girls. hyperaldosteronism and, primary, 661 Acromegaly, from pituitary tumors, in normal function of, 658 pregnancy, 651 Adrenalectomy, adrenal insufficiency from, octreotide for, 850 313-314 ACTH. See Adrenocorticotropin hormone Adrenal glands, anatomy of, 304 (ACTH). biochemistry of, 304-305 Actinomycin D, for carcinoid tumors, 943- disorders of, adrenarchal, 51 —5 1 7 944 congenital hyperplasia, 51 —5 2 ) Activin, effect of, on FSH release, 113-114 hypoplasia, 461 Addison’s disease. See also Adrenal in pregnancy, 661 histology of, 304 insufficiency, acute. adrenal glands in, 304-305 regulation of, 305 clinical presentation of, 305-306 Adrenal insufficiency, acute, 303-328. See also Addison’s disease. history of, 303 etiologies of, adrenalectomy, 313-314 incidence of, 303-304 adrenalitis, autoimmune, 308-310 Adenoma(s), pituitary, 163-175 AIDS, 311 apoplexy from, 294 drugs, 313 corticotroph, 163-164 familiar, 314 gonadotroph, in men, 163-164, 167- hemorrhage, adrenal, 311-312 168 infections, 310 in women, 168-169 infiltrative diseases, 313 recognition of, in vitro, 169-170 metastatic disease, 312 in vivo, 166-169 presentation of, androgen deficiency somatotroph, 163-164 in, 307-308 thyrotroph, 163-164, 169 anemia in, 307 treatment of, pharmacologic, 173 eosinophilia in, 307 radiotherapy in, 170-173 gastrointestinal, 306-307 surgical, 170-172 hypotension, 306 Adolescent endocrinology, 455-700 laboratory abnormalities in, 308 953 954 CUMULATIVE INDEX 1993 Adrenal insufficiency (Continued) Alstrém’s syndrome, 463 psychiatric symptoms in, 307 Alzheimer’s disease, TRH for, 853 diagnosis of, adrenocorticotropin hor- Amenorrhea, exercise—associated, 45-49 mone stimulation test in, 317 fuel expenditure in, 48 corticotropin-releasing hormone stim- GnRH secretion in, 46—47 ulation test in, 318-319 hypercortisolism in, 47 corticotropin stimulation test in, rapid hypermelatoninemia in, 48-49 synthetic, 316-317 management of, 50-52 CT scans in, 319 neuroendocrine action in, 48 hypoaldosteronism versus, 315-316 hypothalamic. See Hypothalamic amenor- insulin tolerance test in, 317-318 rhea syndrome. metyrapone test in, 318 in chronic renal failure, 150 MR imaging scans in, 319-320 lactational, 59-73 secondary, 314-315 anovulation and, 59-60 treatment of, for acute, 320-321 duration of, 59-60 for chronic, 321 nutrition and, 68-69 surgery and, 321-322 prolactin and, 67-68 Adrenalitis, autoimmune, 308 suckling and, 62-67 type I, 309 malnutrition and, 50-52 type II, 309-310 psychogenic, 39-43 Adrenarche, in boys, 457-458 GH in, 43 in girls, 491 GnRH secretion in, 41-43 exaggerated, 517 LH release in, 39-40 premature, 515-517 melatonin in, 43-44 Adrenergic receptors, characteristics of, 331 thyroid hormones in, 43 function of, molecular basis of, 330-331 Amenorrhea and oligomenorrhea, location of, 331-332 adolescent, 497-500 types of, 329-330 bone age in, 498 Adrenergic system, in thyrotoxicosis, 267- differential diagnosis of, 497-500 268 FSH in, 497-498 Adrenocorticotropin hormone (ACTH), gonadotropin deficiency with constitu- deficiency of, in adrenal tional delay in, 498-499 insufficiency, 305, 315 from cyclophosphamide, 623 secretion of, in Cushing’s syndrome, hypothalamic, in adolescence, 693 641-642 normal FSH and estrogenization in, 500 Adrenocorticotropin hormone (ACTH) Amylin, therapeutic use of, 858-859 stimulation test, for adrenal Analgesia, enkephalins and analogues for, insufficiency, 317 856 for hyperandrogenism, 526 Androgen. See also Hyperandrogenism, in Adrenoleukodystrophy, Addison’s disease girls. from, 314 action of, cutaneous manifestations of, Adrenomyeloneuropathy, Addison’s 513-515 disease from, 314 mechanism of, 512 AIDS and AIDS-related complex, biosynthesis of, 507-509 enkephalins and analogues for, 857- blood levels and transport of, 511-512 858 deficiency of, in adrenal insufficiency, AITD. See Autoimmune thyroid disease acute, 307-308 (AITD), in adolescents. effect of, on FSH release, 113 AKA. See Alcoholic ketoacidosis (AKA). on LH secretion, in men, 97-99 Alcoholic ketoacidosis (AKA), 209-219 in polycystic ovary disease, 83-85 clinical presentation of, 209-210 regulation by, of male gonadotropic axis, diagnosis of, differential, 215-216 102-104 hypophosphatemia in, 402 secretion of, disorders in, adrenal, 515- laboratory findings in, 210-213 520 pathogenesis of, 213-215 gonadal, 520-524 treatment of, 216-217 regulation of, 509-511 Alcoholism, in adolescence, 697 tumors producing, 470 Alopecia, in adolescent girls, 507-532. See Anemia, in adrenal insufficiency, 307 also Hyperandrogenism, in girls. in hypothyroidism, 281-282 CUMULATIVE INDEX 1993 955 Anion gap, in diabetic ketoacidosis, Bone mass, accumulation of, assessment of, therapy and, 191-192 577-579 Anorexia nervosa, in adolescence, 696 calcium and, dietary, 576 Anovulation. See Amenorrhea and in puberty, 576-579 oligomenorrhea. sex hormones and, 576, 579 Antiandrogens, for hyperandrogenism, diminution of, in diabetic adolescent, 562 526-527 Bone mass density (BMD), decrease in, in Antiemesis, enkephalins and analogues for, gonadal dysgenesis, 587 857 measurements of, 577-579 Antimetastasis, enkephalins and analogues Brjesson—Forssman—Lehman syndrome, for, 857 462 Apoplexy, pituitary. See Pituitary apoplexy. Brain—gut axis, 732 Argentaffin (EC cell) carcinoids, Breast—feeding. See Suckling. histochemistry of, 810-812 Breast tumors, somatostatin receptors in, signs and symptoms of, 809-810 927, 930, 933 sites of, 799, 809, 811-812 Bromocriptine, effect of, on pregnancy, 650 Argyrophil (ECL cell) carcinoids, in chronic Burns, ocular, EGF for, 864 atrophic gastritis, 802-804 in Zollinger—Ellison—multiple endo- crine neoplasia, 800-802 sites of, 799 Calciferol, in calcium metabolism, 574 sporadic, carcinoid syndrome and, CAH. See Congenital adrenal hyperplasia 804-805 (CAH). Arrhythmias, cardiac, in magnesium Calcitonin, for hypercalcemia, severe, 352— deficiency, 386 353 Asthma, vasointestinal peptide for, 859, in calcium metabolism, 574 861-862 Calcitonin gene-related peptide (CGRP), Astrocytomas, hypothalamic-—pituitary, in therapeutic use of, 859 children, 639-641 Calcitriol, in calcium metabolism, 574 of optic pathway, 640-641 Calcium, in GnRH signal transduction, 6-7 Atrial natriuretic peptide, in adaptation, of metabolism of, abnormal, disorders brain, to hyponatremia, 428 from, 585-589 Autoimmune thyroid disease (AITD), in hypercalcemia and, 581-585 adolescents, 594 hypocalcemia and, 579-581, 583 autoimmune thyrotoxicosis, 597 bone mass accumulation and, 576-579 management of, 602-603 hormones and, pubertal, 579 chronic lymphocytic thyroiditis, 597 in adolescence, 573-592 pathogenesis of, 597 in pregnancy, adolescent, 661-663 management of, 602 normal, in adolescence, 573-576 radiation—induced, 611-613 serum concentration of, calcitonin and, 574 calcitriol and, 574-575 hydroxylysine and, 574 Bardet—Biedl (Laurence—Moon-Biedl) hydroxyproline and, 574 syndrome, 462 in adolescence, parathyroid hormone Beta blockers, for thyrotoxicosis, 271-272 and, 573-574 Bicarbonate, in alcoholic ketoacidosis, 217 measurement of, 363-364 in diabetic ketoacidosis, 197-198 phosphorus and, 574 in lactic acidosis, 237-241 regulation of, 364-365 Bisphosphonate(s), for hypercalcemia, therapeutic, 371-373 etidronate, 353-354 Cancer, lactic acidosis in, 231 pamidronate, 354 Carbicarb, for lactic acidosis, 240 Bleeding, from uterine dysfunction, 501- Carbohydrates, metabolism of, in 503 pregnancy, adolescent, 663-664 genital, pregnancy-related, 501 requirements for, in adolescence, 675 menorrhagic, 503 Carbon dioxide, retention of, in myxedema vaginal, 503 coma, 288 BMD. See Bone mass density (BMD). Carbon monoxide poisoning, lactic acidosis Bone, effect on, of pubertal hormones, 579 from, 233 956 CUMULATIVE INDEX 1993 Carcinoid tumors, chemotherapy for, Chronic idiopathic intestinal pseudo- combination, 945-946 obstruction (CIIP), cholecystokinin for, single—agent, 943-945 854 diagnosis of, 832-833 CIIP (chronic idiopathic intestinal pseudo- growth regulation in, 889-915 obstruction), cholecystokinin for, 854 cell adhesion molecules in, 905, 907— Cisplatin, for carcinoid tumors, 944, 946 908 Coma. See Myxedema coma. gastrin induction of, 899, 901-906. See Congenital adrenal hyperplasia (CAH), also Mastontis model. virilizing, 517-520 growth factors in, 890-900. See also 3-hydroxylase deficiency in, 519-520 Growth factor(s). 11- hydroxy lase deficiency in, 519 peptide expression in, 919-920 21- hy droxy lase deficiency in, 518-519 pharmacotherapy of, 833 pathogenesis of, 517-518 platelet-derived growth factors and, 880 Congenital villous atrophy, EGF for, 864 site classification of, 832 Congestive heart failure (CHF) somatostatin receptors in, 927-928 calcitonin gene-related peptide for, 859- symptomatology of, 831-832 861 types of, argentaffin, 809-812 hypoglycemia in, 256 Constitutional delay, in delayed puberty, in argyrophil, 804-805 hindgut trabecular, 812-813 boys, 458-459, 465-466 midgut, neural adhesion molecule in, in girls, 498-499 Cori cycle, in acid-base balance, 228 907-908 Corticotropin-releasing hormone (CRH), in Cartilage, effect on, of pubertal hormones, adrenal insufficiency, 305 579 Corticotropin—-releasing hormone (CRH) Catecholamines, in pheochromocytoma, stimulation test, for adrenal action of, 329-332 insufficiency, 318-319 adrenergic receptors and, 329-332 Corticotropin stimulation test, for adrenal effects of, biologic, 332-334 insufficiency, 316-317 excess of, 335-337 Cortisol. See Hypercortisolism. CCK. See Cholecystokinin (CCK). excess of, in diabetic ketoacidosis, 182 Cell adhesion molecules, carcinoid tumor in adrenal insufficiency, 307 growth and, 905, 907-908 resistance to, in hirsutism, 520 Central nervous system, in puberty, 493 Craniopharyngiomas, 632-637 lesions in, hypopituitarism from, 460-461 clinical presentation of, 635 stress system and, 688-690 description of, 633-634 Central pontine myelinolysis, from hypopituitarism from, 460 hyponatremia, 431-432, 437-439 in children vs. adults, 633-634 Cerebral ischemia, TRH for, 852 incidence of, 632-633 CGRP (calcitonin gene-related peptide), treatment of, chemotherapy for, 637 therapeutic use of, 859 in children, 635-637 Chemotherapy, effects of, on gonads, 617- radiotherapy for, 636-637 629 surgery for, 635-636 for germ cell tumors, intracranial, 639 workup for, 635 for gliomas, 641 Cryptorchidism, fertility in, 479-490 for pancreatic tumors, 946-950 pathogenesis of, 480-482 CHF (congestive heart failure), calcitonin age and, 484-486 gene-related peptide for, 859-861 anatomic defects in, 481 Chlorozotocin, for pancreatic tumors, 949 endocrinopathy in, 481 Chlorpropamide, for diabetes insipidus, histopathology in, 482-483 415-416 paternity in, 484-485 Cholecystokinin (CCK), biologic action of, semen analysis in, 483-485 721 testis location and size in, 486 diagnostic, 835 testicular carcinoma in, 486-487 distribution of, 720-721 treatment of, approach to, historical, 480 therapeutic use of, 853-854 indications for, 479 Cholecystokinin (CCK) receptor, as tumor Cushing’s syndrome, in adolescence, 695- marker, 925-926 696 Cholestasis, intrahepatic, secretin for, 855 in pregnancy, 658-659 CUMULATIVE INDEX 1993 957 Cyclophosphamide, azoospermia and nonketonic, 194 oligospermia from, 623-624 pathophysiology of, 181-187 kidney in, 187 liver in, 185-186 muscle in, skeletal, 187 Dacarbazine, for carcinoid tumors, 943-944 pancreas in, 182-183 DCA (dichloroacetate), for lactic acidosis, prevention of, 203 239-241 recovery in, 202 DDAVP (i-—desamine 8-D-arginine treatment of, bicarbonate in, 197-198 vasopressin), 415 calculations for, 189-193 1—desamine 8—D-arginine vasopressin fluids in, 194-195 (DDAVP), 415 glucose in, 197 Delayed puberty. See also Constitutional insulin in, 195-196 delay. phosphate in, 198 Delayed puberty, from gonadotropin potassium in, 196-197 deficiency, 461-462 Dialysis, for hypercalcemia, severe, 356 from hypogonadism, hypotropic, 459, Diarrhea, secretory, octreotide for, 848-849 463-464 Dichloroacetate (DCA), for lactic acidosis, from hypogonadotropism, 459 239-241 in boys, differential diagnosis of, 458- Diet, in diabetes, 563-564 459, 464-466 Dieting, in adolescence, 677-679. See also treatment of, 465-466 Nutrition, eating practices and. Dex suppression test, for 1,25-dihydroxyvitamin D, in calcium hyperandrogenism, 523, 525-526 regulation, 364 Diabetes insipidus, definition of, 414 Diuresis, excessive, in myxedema coma, etiology of, central, 416-418 288 nephrogenic, 416-418 osmotic, in diabetes insipidus, 416 follow-up in, 421 in diabetic ketoacidosis, 186 in emergencies, 411-423 saline, for hypercalcemia, severe, 351- in pregnancy, adolescent, 654 352 presentation of, 416 DKA. See Diabetic ketoacidosis (DKA). therapy for, chlorpropamide, 415-416 Dopamine, GnRH secretion and, 17-18 1—desamine 8-D-arginine vasopressin, in polycystic ovary disease, 87 415 Doxorubicin, for carcinoid tumors, 944, 946 diuretics, thiazide, 416 for pancreatic tumors, 947-948 maintenance, 421 Drugs, lactic acidosis from, 232-234 water, 415 Dumping syndrome, octreotide for, 849- types of, after neurologic procedures, 420 850 central, 414, 416-418 established, 418 nephrogenic, 414-418 new onset, 416-418 EC cell carcinoids. See Argentaffin (EC cell) posttrauma, 420 carcinoids. pregnancy, 420 ECL cell carcinoids. See Argyrophil (ECL Diabetes mellitus, in adolescence, 553-573. cell) carcinoids. See also Insulin—dependent diabetes ECL (enterochromaffin—like) cells, growth mellitus (IDDM). of, 901-904 Diabetic ketoacidosis (DKA), 181-207 Edema, brain, in diabetic ketoacidosis, 200- alkalemic, 193-194 201 complications of, 198-199 pulmonary, 198 iatrogenic, 199-201 EGF. See Epidermal growth factor (EGF). special, 201-202 Elderly, myxedema coma in, 283 diagnosis of, criteria for, 189 Encephalopathy(ies), hypertensive, in exceptions to, 193-194 pheochromocytoma, 336 factors in, precipitating, 187-189 hyponatremic, central pontine myelino- euglycemic, 193 lysis, 431-432, 437-439 home care of, 203 diagnosis of, differential, 433 hypophosphatemia in, 402-403 in women, 432-433 manifestation of, 186-187 neuropathologic lesions, 430-431 958 CUMULATIVE INDEX 1993 Encephalopathy(ies) (Continued) normal, with hypoestrogenism, 497-— lactic acidosis in, 234 499 Endocrine crises, 181-446 with normal estrogenization, 500 Energy needs, in adolescence, 673-674 postpartum, 60-62 Enkephalins, therapeutic use of, 856-858 regulation of, by GnRH, 34-35 Enterochromaffin—-like (ECL) cells, growth release of, estradiol effect on, 113-114 of, 901-904 GnRH and, 7-9 Eosinophilia, in adrenal insufficiency, 307 in men, 111-115 Epidermal growth factor (EGF), therapeutic versus LH release, 112-113 use of, 864 secretion of, in gonadotrophic adenomas Epinephrine, excess of, in diabetic in women, 168-169 ketoacidosis, 182 in polycystic ovary disease, 85-86 Estradiol, effect of, on FSH release, 113-114 neuroendocrine regulation of, 111-115 in polycystic ovary disease, 82-83 suckling and, 63-66, 68 Estrogens, effect of, on gonadotropes, 18- Fotemustine, for pancreatic tumors, 949 19 FSH. See Follicle stimulating hormone (FSH). on LH release, 16-17 Functional ovarian hyperandrogenism in men, 99-100 (FOH), 520-523 in polycystic ovary disease, 83 regulation by, of male gonadotropic axis, 99-100, 104-105 Ethanol intoxication, lactic acidosis from, Gallium nitrate, for hypercalcemia, severe, 232 355 Etidronate, for hypercalcemia, severe, 353-— Gastrin inhibitory peptide (GIP), biologic 354 action of, 722 Exercise, amenorrhea from, 45—49 discovery of, 710 management of, 50-52 therapeutic use of, 866 risks and benefits of, 49-50 Gastrin inhibitory peptide receptors, lipoprotein changes, 50 biologic actions of, 723-725 osteopenia, 49-50 Gastrin, as tumor marker, 924-925 strenuous, lactic acidosis in, 234 discovery of, 709-710 in promotion of ECL cell growth, 904— 905 pathologic effect of, 716 Fasting, hypoglycemia from, 253-256 therapeutic use of, 866 in children, 258 Gastrin (G) cell tumors, Zollinger—Ellison Fats, requirement for, in adolescence, 675 syndrome-associated, 805-807 Fatty acids, free, in diabetic ketoacidosis, nonfunctioning, 806 183 peptides in, 806-807 omega-3 for lactic acidosis, 241 sites of, 799, 805-706 Fertility, evaluation of, paternity in, 484 Gastrin gene, regulation of, achlorhydria semen analysis in, 483-484 model in, 758-760 in cryptorchidism, 479-490 developmental, 760-761 FGF (fibroblast growth factor), 898 interrelationships in, with cholecysto- Fibroblast growth factor (FGF), 898 kinin, 761 Fluids, in alcoholic ketoacidosis, 216 with somatostatin, 758-760, 764 in diabetic ketoacidosis, 194-195 Northern analysis in, 760-761 Fluorouracil, for carcinoid tumors, 944, 945 Gastrin hypothesis, 826 for pancreatic tumors, 947-948 Gastrinomas. See also Gastrin (G) cell FOH. See Functional ovarian tumors. hyperandrogenism (FOH). enterochromaffin—like cell (ECL) hyper- Follicle-stimulating hormone (FSH), assay plasia in, 826-827 of, 111, 115, 117 management of, 826-828 hypothalamic amenorrhea and, 40 Zollinger-Ellison syndrome and, 825- in breast-feeding women, 63-65 827 in male gonadal axis, 93-94 gastrin secretion by, 825 in menstrual disorders, adolescent, 497- secretin provocative test for, 825 500 Gastrin promoter, analysis of, deletion elevated, 497 technique in, 761-764 CUMULATIVE INDEX 1993 959 EGF dependence in, 764 growth hormone-releasing hormone, gastrin chloramphenicol acetyltransfer- 65 ase reporter gene and, 761-762 in diagnosis, 835-836 in islet cells, 764—765 limitations of, 846-847 in pituitary cell lines, 762-764 thyrotropin-releasing hormone and Gastrin-releasing peptide (GRP)/ analogues, 851-853 bombesin-like tumors, 834 therapeutic, 836-837 Gastro—entero—pancreatic neuroendocrine in medicine, 709-952 (GEP-NE) system, 731-752 Gastrointestinal peptide(s), analogues of, histogenetic theories of, 747-748 725-726 historical perspectives in, development in brain and gut, 719-721 and, 709-717 cholecystokinin, 720-721 discoveries in, gastrin inhibitory pep- glucose-related, 722-723 tide, 710 therapeutic, amylin, 858-859 gastrin, 709-710 cholecystokinin, 853-854 neuron-specific enolase, 715-716 enkephalins and analogues, 856-858 secretin, 709 gastrin inhibitory peptide, 866 somatostatin, 711, 713 gastrin, 866 receptor identification and, 711 glucagon, 862-863 ontogeny of, 711, 713, 746-747 pancreatic polypeptide, 865 peptides of, 711-712 secretin, 855-856 in tumor growth, 716-717 somatostatin and analogues, 847-851. phylogeny of, 711, 733-746 See also Octreotide. Agnatha in, 738-741, 745 vasoactive intestinal peptide, 859-861 Deuterostomia in, 736-738 Gastrointestinal tract, effect on, of adrenal Gnathostomian vertebrates in, 741- insufficiency, 306—307 743, 745 neuroendocrine tumors of, gastrin and, osteichthyes, amphibia, reptiles, birds, 881-882 mammals in, 743-746 ontogenesis of, 875-879 Protostomian, 735-736 somatostatin and, 882 taxonomy of primitive animals in, GCTs See Germ cell tumor(s) (GCTs). 733-735 General adaptation syndrome, 686-687 tumors of gut and, 714-715 GEP-NE. See Gastro—entero—pancreatic Gastrointestinal endocrine system, neuroendocrine (GEP—NE) system. physiology of, 719-729 Germ cell tumor(s) (GCTs), intracranial, metabolic actions in, 721-723 age and, 638 peptides in, analogues of, 725-726 germinomas, 637 brain and gut, 719-721 symptoms of, 638-639 receptors in, 723-725 teratomas, 637-638 pathology of, 795-821 treatment of, 639 argentaffin carcinoids, 809-812 GFs. See Growth factors (GFs). cells in, activity of, 797 GH. See Growth hormone (GH). classification of, 795-797 GHRH. See Growth hormone-releasing gastrin cell tumors, 805-807 hormone (GHRH). hindgut trabecular carcinoids, 812-813 Giantism, pituitary, from adenomas, hyperplasia preneoplasia, neoplasias pediatric, 642-643 in. See Carcinoid tumor‘(s). GIP. See Gastrin inhibitory peptide (GIP). neuroendocrine carcinomas, 813-814 GLPs (glucagon-like peptides), action of, paragangliomas in, ganglioneuroma- biologic, 722-723 tous, 808-809 Glucagon, diagnostic, 835-836 somatostatin cell tumors, 807-808 excess of, in diabetic ketoacidosis, 182- Gastrointestinal hormones. See also 183 Gastrointestinal peptide(s), therapeutic. in glucose production, 781-782 clinical applications of, 823-844 therapeutic, 838-839, 862-863 endogenous, neoplasm—associated. See Glucagon-like peptide—1 (GLP-1), action Neuroendocrine tumor(s). of, 799-780, 782-783 exogenous, enhancement of, 847 glucose competence concept and, 784— epidermal growth factors, 864 785 960 CUMULATIVE INDEX 1993 Glucagon-like peptide-1 activin in, 113-114 (GLP-1) (Continued) androgens in, 97-99, 102-104, 113 incretin desensitization hypothesis and, estrogens in, 104-105 786-788 FSH in, 93-100, 111-115 in treatment of non-insulin dependent GnRH in, 106-108, 108-111 diabetes mellitus, 788-790 inhibin in, 113-115 versus sulfonylurea drugs, 788 LH in, 93-102, 108-109, 115-116 isoforms of, 776-778 Gonadotropin-releasing hormone (GnRH), processing of, proglucagon gene in, 776 action of, up and down regulation, 34— Glucagon-like peptide—1 (GLP-1) 35 receptors, 780-782 alterations in, mechanisms of, 108-109 action of, 782-788 biosynthesis of, 7-9 on insulin secretion, 783-784 deficiency of, from hypothalamic lesions, desensitization hypothesis and, 786- 108-109 788 from intrapituitary disease, 108-109 on glucagon-producing cells, 782-783 in amenorrhea, exercise-induced, 46— on glucagon-producing cells, 783-784 47 on somatostatin—producing cells, 782, hypothalamic, 41-43 783 in Kallmann’s syndrome, 131-133 Glucagon-like peptides (GLPs), biologic exogenous, effect of, on gonadotroph action of, 722-723 cells, 96 Glucagonomas, clinical presentation of, 830 on gonadotropin biosynthesis, 7-9 diagnosis of, 830-831 responses to, by FSH and LH, 65 management of, 831 in uremia, 149-150 Glucocorticoids, deficiency of, in Addison’s for hypogonadotropic hypogonadism, disease, 314 139-141 for hyperandrogenism, 526 in uremia, hypothalamic, 154 for hypercalcemia, severe, 356 pituitary, 153-154 for thyrotoxicosis, 272-273 response to, 149-150 Glucose, excess, hypoglycemia from, acute, neuronal systems of, 30 133 during sexual maturation, 33-34 in alcoholic ketoacidosis, 217 origin of, 32-33 in diabetic ketoacidosis, 197 posttranslational processing of, 9-10 metabolism of, amylin effect on, 858 pulse frequency of, in polycystic ovary glucagon and, 781-782 disease, 85-87 transporter of, 183-184 pulse generator system of, 31-32, 108- Glycemia, control, in adolescence, 556 109 Glycolysis, in metabolism, of lactate, 222-— receptors of, 5-6 224 release of, 2—4 GnRH. See Gonadotropin-releasing hormone in menstrual cycle, 10-16, 19-21 (GnRH). reversible, 108-111 Goiter, in adolescence, 593-606. See also secretion of, hypothalamic control of, 17- Autoimmune thyroid disease (AITD). 18, 94-95 autoimmune thyroid disease and, 594- in adult, 127-129 597, 602-603 in fetus, 125-126 classification of, 593-594 in puberty, 126-127 definition of, 593 postnatal, 126 diagnosis of, biopsy in, 602 hypothalamus and, 17-18 laboratory tests in, 598-599 in amenorrhea, 41-44, 46-47 MR imaging in, 600 in chronic renal failure, 150, 153-154 radionuclide studies in, 599-600 in girls, 491-492 ultrasonography in, 599-600 signal transduction of, 6-7 diffuse, 593-596 synthesis and secretion of, hypothalamus incidence of, 593 and, 94-95 nodular, 593-596 Gonadotropin-releasing hormone (GnRH) management of, 602-603 agonists, for hyperandrogenism, 526 pathogenesis of, 596-597 Gonadotropins, deficiency of, in boys, Gonadal axis, male, neuroendocrinology of, functional, 461-462 93-124 with constitutional delay, 498-499 CUMULATIVE INDEX 1993 961 exogenous, gonadotropin secretion and, secretion of, in amenorrhea, psychogenic, 16-17 43 in puberty, female, 498-499 Growth hormone-releasing hormone male, 461-462 (GnRH), in growth spurt, adolescent, isolated, 461 538 with adrenal hypoplasia, 461 properties of, morphologic and func- tional, 4—5 release of, in menstrual cycle, 10-16, 19- Hamartomas, of tuber cinereum, pediatric, 21 643 secretion of, from pituitary tumors, 651- Hand-Schller—Christian syndrome. See 652 Langerhans cell histiocytosis (histiocytosis from tumors, 470 X). in girls, 491-493 Hashimoto’s thyroiditis, in adolescence, suppression of, for hyperandrogenism, diagnosis of, 598-599 526 hCG. See human chorionic gonadotropin synthesis of, 7-9 (hCG). Graves’ disease. See Thyrotoxicosis, Hemorrhage, adrenal, 311-312 autoimmune. gastrointestinal, octreotide for, 850 Growth, in adolescence, attenuated, 541- secretin for, 855 544 Hindgut trabecular (L cell) carcinoids, delayed, 541-542 malignancy of, 812 intrinsic shortness, 541, 543-544 immunohistochemistry of, 812-813 linear curves in, 543 sites of, 799, 812-814 pathophysiology of, 541-545 Hirsutism, in adolescent girls, 507-532. See also Androgen; Hyperandrogenism, in spurt in, height velocity in, 533-537 in boys, 533, 535 girls. in girls, 533-534, 536 Histiocytosis X. See Langerhans cell skeletal maturation in, 535 histiocytosis (histiocytosis X). Growth factor(s) (GFs), 890-899 hMG (human menopausal gonadotropin), epidermal growth factor, 890-892 for Kallmann’s syndrome, 138-139 HPA (hypothalamic—pituitary—adrenal expression and action of, gastrointestinal axis), dysfunction of, adrenal hormones and, 881-882 insufficiency from, 314-315 oncogenes in, 882 Human chorionic gonadotropin (hCG), for on gastrointestinal endocrine tumors, idiopathic hypogonadotropic 880-881 hypogonadotropism, in men, FGF, basic and acidic, 898 138-130 IGF-1, 891-894 in peripubertal boys, 137 in pancreatic endocrine cells, 875-857 Human menopausal gonadotropin (hMG), ontogenesis of, 875-879 for Kallmann’s syndrome, 138-139 neuronotropic effects of, on midgut car- Hydration, for hypercalcemia, severe, 351— cinoid cells, 899-900 353 PDGF, 894-896 Hydroxylysine, in calcium metabolism, 574 TGF-, 890-892 Hydroxyproline, in calcium metabolism, TGF-, 896-897 574 Growth hormone (GH), deficiency of, from Hyperandrogenism, in girls, adrenarche craniopharyngiomas, 637 and, 515-517 from germ cell tumors, 638-639 causes of, 515, 524 GHRH for, 865 congenital adrenal hyperplasia and, vi- from irradiation, 636-637 rilizing, 517-520 in adolescence, 533-552. See also Growth, diagnosis of, 524-526 in adolescence. frorn hermaphroditism, 524 changes in, 538-540 from tumors, 524 deficiency of, diagnosis of, 545-546 obesity and, 524, 527 treatment of, 546-547 ovarian, functional, 520-524. See also growth hormone axis and, 536, 538 Polycystic ovary syndrome (PCOS). pituitary—gonadal axis and, 540 treatment of, endocrine, 526-527 release of, in diabetic adolescent, 555-556 neuroendocrine, 527 962 CUMULATIVE INDEX 1993 Hypercalcemia, in adolescence, causes of, serum calcium and, 363-365 hyperparathyroidism, 582-583 signs and symptoms of, 367 immobilization, 582-583 in adolescence, causes of, 579-581 medications, 581, 585 autoimmune disorders, 580 hypoparathyroidism, 583-584 hypomagnesemia, 580-581 management of, 585 hypoparathyroidism, 580 in pheochromocytoma, 337 hypovitaminosis D, 581 in pregnancy, adolescent, 662-663 serum phosphorous in, 581 malignancy—associated, 346-348 complications of, 581 humoral, 347-348 in magnesium deficiency, 383-385 osteolytic, 347 Hypoestrogenism, in girls, management of, parathyroid hormone-related peptide 500-501 in, 349 with normal FSH, 497-499 severe, 343-362 Hypoglycemia, acute, 247-262 diagnosis of, differential, 345-346 definition of, 247-248 pathophysiology of, 343-344 diabetes mellitus and, 250-25 presentation of, 345 diagnosis of, differential, 251-259 treatment of, dialysis in, 356 from fasting, 253-256 hydration in, 351-352 in children, 258 pharmacologic, 352-356 from glucose consumption, excess, 256 Hyperchloremia, iatrogenic, in diabetic from hepatic dysfunction, 253, 257 ketoacidosis, 200 from insulin excess, 252-258 Hypercortisolism, in hypothalamic in children, 258-260 amenorrhea syndrome, 42-43 medications and, 250-251 exercise—associated, 47 physiology of, 248-249 psychogenic, 42-43 presentation of, 248-250 Hypergastrinemia, loxtidine—induced, ECL from insulin therapy, 565 cell growth and, 901-906 iatrogenic, in diabetic ketoacidosis, 199-— Hyperglycemia, in alcoholic ketoacidosis, 200 213-214 in pheochromocytoma, 336 in diabetic ketoacidosis, 182-187 non-insulin—mediated, 256 in diabetes and, 557 postprandial, 256-258 Hyperlipidemia, pulmonary, in diabetic reactive, 257-258 ketoacidosis, 198-199 Hypogonadism. See also Hypogonadotropic Hypermelatoninemia, in hypothalamic hypogonadism (HH). amenorrhea syndrome, exercise— hypogonadotropic, in men, 125-143 associated, 48-49, 51 in women, 29-58 psychogenic, 43-44 in adolescence, 693 Hyperparathyroidism, hypercalcemia from, in boys, 459 582-583 in girls, 498-499 Hyperprolactinemia, hypopituitarism from, Hypogonadotropic hypogonadism (HH), 460 anatomic, 127-130 in acne and hirsutism, 520 differential diagnosis of, 127-130 in chronic renal failure, 151 functional, from alcohol use, 130-131 in girls, 501 from anabolic steroids, 131 in hypothalamic amenorrhea syndrome, in athletes, 131 42-43 idiopathic, 129, 131-133. See also Idio- Hypertension, calcitonin gene-related pathic hypothalamic hypogonadism peptide for, 859-861 (IH). in pheochromocytoma, 333-336 in men, 125-143 management of, 337-338 in women, 29-58 Hyperthyroidism, in pregnancy, Hypokalemia, iatrogenic, in diabetic adolescent, treatment of, 657-658 ketoacidosis, 199 Hypocalcemia, emergencies in, 363-375 in magnesium deficiency, 383 causes of, 365-366 Hyponatremia, adaptation to, atrial management of, in acute, 371-372 natriuretic peptide in, 428 in chronic, 372 hypoxia in, 429-430 in magnesium deficiency, 369-371 physical factors in, 428-429 postparathyroidectomy, 369-370 sex hormones in, 427

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