By C. R. Kannan M.D. (auth.)

ISBN-10: 1461282861

ISBN-13: 9781461282860

ISBN-10: 1461310016

ISBN-13: 9781461310013

This quantity, The Adrenal Gland, is the second one within the medical Surveys in Endo­ crinology sequence. Like its predecessor at the pituitary gland, this paintings is written with one objective in mind-to view the great, suitable adrenal literature via a clinician's eyes. The difficult, and infrequently advanced, interrelationship among the scientific and learn views of "adrenology" poses a problem. this can be, partially, because of the in most cases held trust that the milieux of steroid hormone study and scientific drugs are parallel phenomena, no longer destined to fulfill. however the twain do meet, and sometimes with relative ease, whilst seen as dual points of an identical gem. The view awarded during this paintings is from the vantage element of the scientific endocrinologist who applies the study literature to appreciate adre­ nal ailments extra sincerely. Adrenal pathology is arguably the main interesting of all endocrinopathies. the pictures of sufferers being affected by adrenal ailments are of kaleidoscopic caliber: the infant baby with ambiguous genitalia, in whom the first actual ritual of assigning intercourse turns into shrouded with uncertainty; the revitalized pa­ tient with hitherto undiagnosed Addison's affliction, who yet for the cognitive powers of the endocrinologist might have finally succumbed, undiagnosed; the virilized woman with adrenal tumor and its attendant onslaught at the physique and brain; the febrile sufferer with pheochromocytoma masquerading as fever of undetermined starting place for months.

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Additional resources for The Adrenal Gland

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50 the frequency of adrenal insufficiency in disseminated histoplasmosis was remarkably higher. In this study of 54 patients with disseminated histoplasmosis, adrenal insufficiency developed in half the patients regardless of treatment and was the most common cause of death. The presence of dissemination of histoplasmosis can be diagnosed by demonstration of systemic (hepatic, hematological, renal, gastrointestinal, or cutaneous) involvement by the fungus, or by culturing the fungus from blood, bone marrow, or tissues.

Constitutional ....................................... ........ Dermatological ...................................... ........ Gastrointestinal ................................................. Cardiovascular .................................... Musculoskeletal ............................... Renal .......................................... Psychiatric .................................. Gonadal .................................................... Bronchopulmonary .................................

49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 27 responses to corticotropin-releasing factor: Modulatory effect of basal cortisol leveis. ] Clin Endocrinol Metab 58:187, 1984. Lytras N, Grossman A, Perry L, et al: Corticotrophin releasing factor: Responses in normal subjects and patients with disorders of the hypothalamus and pituitary. Clin Endocrinol (Oxford) 20:71, 1984. Smelik PG, Sawyer CH: Effects of implantation of cortisol into the brain stem or pituitary gland· on the adrenal response to stress in the rabbit.

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The Adrenal Gland by C. R. Kannan M.D. (auth.)


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