Abstract
Young adults born very preterm show elevated adrenal androgens, particularly when born small for gestational age. Postnatal corticosteroid administration is positively associated with serum Adione in young women....
|
PMID: 20682633
PDF is available here.
Abstract
We report a 54-year-old man who presented with abdominal pain and severe hyponatremia a few days after a left lower lobectomy for lung cancer. An abdominal computed tomography scan without contrast showed a bilateral adrenal hemorrhagic infarction, mainly on the right side. Serum sodium level was 11...
|
PMID: 20609806
PDF is available here.
Abstract
EUS-guided FNA of the adrenal glands is a minimally invasive and safe approach that documents or excludes malignant involvement. EUS-guided FNA should be the first next test to evaluate enlarged adrenal glands because it directs therapy and affects patient management.
Copyright 2010 American Societ...
|
PMID: 20156622
PDF is available here.
Abstract
A total of 43 LA were performed to 41 patients using a transperitoneal lateral approach. Indications for adrenalectomy included hyperaldosteronism (19), non-functioning adenoma (8), phaeochromocytoma (6), Cushing's syndrome (6), metastasis (3) and adrenal primary tumour (1). Median postoperative hos...
|
PMID: 19896122
PDF is available here.
Abstract
Laparoscopy is considered to be the gold standard for benign adrenal conditions. When the malignant mass is a single metastasis from a primary tumor, the laparoscopic approach appears to be reliable. When the malignant lesion is a primary adrenal tumor, laparoscopic management is more controversial,...
|
PMID: 20403283
PDF is available here.
Abstract
In this article, we describe the recent studies on pathophysiology of the muscular skeletal complaints in endocrine disease. In addition we report on population as well as genetic studies, which address the relationship between endocrine and rheumatologic disease, both of which are autoimmune. SUMMA...
|
PMID: 19935068
PDF is available here.
Abstract
B-, H- and L-catepsine-like activity regarding Na-benzoyl-D,L-arginine-4-nitroanilide, L-leucine-4-nitroanilide and azocasein was studied in the blood plasma of patients with different diseases of thyroid, parathyroid and adrenal glands. It has been shown that the high H- catepsine-like activity con...
|
PMID: 20684245
PDF is available here.
Abstract
We present a 13-year-old male patient with AHC caused by a nonsense mutation in the DAX-1 gene who developed GH deficiency following head trauma. He showed signs of adrenal insufficiency at the age of 23 months, and glucocorticoid and mineralocorticoid treatment was started. His parents reported hea...
|
PMID: 20718192
PDF is available here.
Jerzy Lubikowski,
Marek Umiński,
Elzbieta Andrysiak-Mamos,
Sławomir Pynka,
Henryk Fuchs,
Maciej Wójcicki,
Mikołaj Szajko,
Piotr Moleda,
Mariola Post,
Ewa Zochowska,
Bartosz Kiedrowicz,
Krzysztof Safranow and
Anhelli Syrenicz
Abstract
This study shows that LA is a safe, effective, and well-tolerated procedure. It may be recommended as a "gold standard" surgery in a case of benign functioning or non-functioning adrenal tumours with diameter less than 8 cm. (Pol J Endocrinol 2010; 61 (1): 94-101)....
|
PMID: 20205111
PDF is available here.
Abstract
Clinical practice varied among the endocrinologists surveyed, although a certain uniformity in relation to the main guidelines was observed. A tendency to request a greater number of diagnostic tests for initial hormone assessment and clinical follow-up was detected. Assessment, decision-making and...
|
PMID: 20114014
PDF is available here.
Abstract
A thorough assessment of a patient's medical status is standard practice when dental care is provided. Although this is true for procedures performed under local anesthesia alone, the information gathered may be viewed somewhat differently if the dentist is planning to provide sedation or general an...
|
PMID: 20020794
PDF is available here.
Abstract
As less invasive laparoscopic procedures become widespread, an increasing number of case reports and series of cases regarding adrenal cyst operations have recently been reported. A review of the literature shows that the cysts are generally benign, but it is not always possible to identify cystic a...
|
PMID: 19900387
PDF is available here.
Abstract
Adrenal diseases comprise for a variety of medical endocrine issues, ranging from partial or complete gland insufficiency, to several kinds of adrenal hyperfunction, either of congenital or neoplastic etiology. For hypofunction of the adrenals (partial or complete) the treatment of choice is medical...
|
PMID: 19817507
PDF is available here.
Abstract
The incidental discovery of adrenal masses during modern diagnostic imaging is a common occurrence. These masses form part of a long differential diagnostic list; most often, they are benign adrenal adenomas, but their discovery requires a clinical evaluation that is sufficiently broad to exclude cl...
|
PMID: 19506582
PDF is available here.
Abstract
We report a case of this vascular lesion in the adrenal gland, treated with laparoscopic adrenalectomy....
|
PMID: 20076912
PDF is available here.
Abstract
Patients with endocrine diseases are candidates for an early anaesthesiologic evaluation. This is especially important for diseases with a high potential for preoperative optimization of therapeutic options, as diabetes, morbid obesity and thyroid dysfunction. For rare diseases, early anaesthesiolog...
|
PMID: 19565451
PDF is available here.
Abstract
We observed the decrease of plasma androgens in both groups, which did not differ significantly. Significant increase of SHBG (i.e. decrease of free androgens) was, however, documented in each period with COC administration. Not surprisingly, improvement of the most frequent clinical symptom of NCAH...
|
PMID: 19903032
PDF is available here.
Abstract
Scintigraphy has historically added much to the evaluation of adrenal dysfunction and tumor localization. The early development of radiopharmaceuticals for adrenocortical imaging provided vital clinical information well before the widespread availability of computed tomography (CT), but beginning in...
|
PMID: 19333218
PDF is available here.
Abstract
OBJECTIVE: To discuss the potential mechanisms and the role of adrenalitis with extensive hemorrhage and necrosis in acute critical infectious diseases. Methods Forensic autopsy cases from 1987 to 2007 were retrospectively analyzed. And 10 cases of them were involved in the primary and critical infe...
|
PMID: 19595147
PDF is available here.
Abstract
The progressive increase in the number of adrenalectomies performed is due more to a better understanding of adrenal disease than to the availability of minimally invasive techniques. The choice of a laparoscopic approach (trans- or retroperitoneal) should depend on the surgeon's experience....
|
PMID: 18626702
PDF is available here.
Abstract
The adrenal gland may be affected by several pathologies, and the detection of an adrenal nodule may occur during the work-up of a biological abnormality, oncologic work-up, or be incidental. Endocrinological and imaging work-up is required in all cases. Cross-sectional imaging has had a great impac...
|
PMID: 19421134
PDF is available here.
Abstract
The standard procedure for adrenal tumors is total adrenalectomy. In order to preserve adrenocortical function, partial adrenalectomy has become an accepted and proven option in bilateral hereditary pheochromocytomas. For this at least one third of one gland has to be maintained. In unilateral adren...
|
PMID: 19145416
PDF is available here.
Abstract
Laparoscopic adrenalectomy is considered the standard of care for benign adrenal neoplasms and has been increasingly considered for malignant disease. Robotic techniques have been considered for theoretical advantages in visualizing and dissecting the adrenal and its vasculature. Series of robotic a...
|
PMID: 19057223
PDF is available here.
Abstract
We describe the clinical history of a patient with stage IV diffuse large B-cell lymphoma (DLBCL) treated with eight courses of R-CHOP every two weeks, who presented clinical remission of the disease at the end of therapy. However, two months later he developed neurological symptoms due to cerebella...
|
PMID: 19366071
PDF is available here.
Abstract
10 patients with adrenal damage were observed during 2.5 years. It amounted 0.93% of all patients with closed abdominal injuries. The right adrenal gland was traumatized in all cases evidently due to it's compression between right lobe of liver and vertebral column. Adrenal damage is observed quite...
|
PMID: 19365327
PDF is available here.
Abstract
Glucocorticoids belong to the most important human hormones which are involved in the regulation of a variety of cardiovascular, metabolic and immunologic functions. Because they are necessary to sustain life and maintain homeostasis - adrenal disorders, if not detected in a timely fashion, can have...
|
PMID: 19739582
PDF is available here.
Abstract
Peripheral blood concentrations of VEGF and its receptors cannot be clinically valuable markers that discriminate between benign and malignant adrenocortical tumours before and after adrenalectomy....
|
PMID: 19224499
PDF is available here.
Abstract
We provide the reader with some practical recommendations concerning the approach to pregnant women with adrenal disturbances....
|
PMID: 19753547
PDF is available here.
Abstract
Adrenal diseases are quite common in Japanese pet ferrets; however, there have been no reports concerning the epidemiology of ferret adrenal disease in Japan. The purpose of this study was to collect epidemiological data on ferret adrenal disease in Japan by sending a questionnaire to veterinarians...
|
PMID: 19122398
PDF is available here.
Abstract
To our knowledge this is a first population-based study on nonthyroid endocrine diseases. The results call for further studies to sort out the challengingly high sibling risk for many individual nonthyroid endocrine diseases, whether they are due to bias or possible recessive effects....
|
PMID: 18827002
PDF is available here.
Abstract
Surgeon experience, resident training level, and tumor size are important variables for robotic-assisted, unilateral adrenalectomy and should be taken into account when this approach is evaluated. Controlled studies need to be performed to show potential relevant clinical benefits that could balance...
|
PMID: 19041009
PDF is available here.
Abstract
Incidental adrenal lesions are commonly detected at computed tomography, and lesion characterization is critical, particularly in the oncologic patient. Imaging tests have been developed that can accurately differentiate these lesions by using a variety of principles and techniques, and each is disc...
|
PMID: 19011181
PDF is available here.
Abstract
The 2 groups did not differ in terms of operative time, analgesic requirement, time to first flatus, complication rate, duration of postoperative stay, or final histology. Patients in the LTA group showed significantly lower Paco(2), Pao(2), and Vco(2) at the end of the operation. Patients in the PR...
|
PMID: 19041011
PDF is available here.
Abstract
This review describes the therapeutic approach of endocrine arterial hypertension in clinical practice. In mineralocorticoid-related hypertension, adrenalectomy is the treatment of choice for aldosterone-producing adenomas and monolateral primary aldosteronism, whereas pharmacologic blood pressure (...
|
PMID: 18923367
PDF is available here.
Abstract
A 43-year-old woman developed sudden onset of flank pain associated with a flushing sensation and presented to the emergency department where computed tomography showed a 5-cm left adrenal mass. She had normal electrolytes, and serum and urinary test results were negative for pheochromocytoma. A 24-...
|
PMID: 18996818
PDF is available here.
Abstract
Final histology revealed an unexpected diagnosis of non-adrenal origin of the mass in 13 patients (3.1%). Histology demonstrated a benign neurogenic tumor in 10 patients. In the other 3 patients diagnosis was respectively of lymphnode, hemangioma and a gastric metastasis of melanoma. Five patients o...
|
PMID: 19092291
PDF is available here.
Abstract
Secondary hypertension is the presence of a specific condition known to cause hypertension, which may be the primary cause or a contributing factor in a patient who already has primary hypertension. Although uncommon, it may cause major morbidity for a subset of patients. This article provides an ov...
|
PMID: 18710666
PDF is available here.
Abstract
We studied adrenal gland histopathology of 65 patients with bacterial infections documented in a variety of tissues by using immunohistochemistry. The infections diagnosed included Neisseria meningitidies, group A streptococcus, Rickettsia rickettsii, Streptococcus pneumoniae, Staphylococcus aureus,...
|
PMID: 18500257
PDF is available here.
Abstract
In 2002-2008 yrs. in the Department of Laparoscopic Surgery and Cholelithiasis in 52 patients laparoscopic adrenalectomy (LA) was accomplished, performed for different diseases of suprarenal glands. Incidentaloma was diagnosed in 8, fibroma--in 4, pheokhromocytoma--in 10, aldosteroma--in 11, adrenoc...
|
PMID: 19278040
PDF is available here.
Abstract
We review how mycoses and conventional systemic antifungal treatment can affect the endocrine system and cause metabolic abnormalities. If clinicians are equipped with better knowledge of the endocrine and metabolic complications of fungal infections and antifungal therapy, they can more readily rec...
|
PMID: 18775205
PDF is available here.
Abstract
Adrenal hemorrhage occurred mostly in cases of sudden death, infection, trauma and asphyxia. Male had more chance than female to have adrenal hemorrhage. Adrenal hemorrhage caused by sudden death, trauma and poisoning was more frequently seen in young adults, whereas adrenal hemorrhage in children a...
|
PMID: 18817038
PDF is available here.
Abstract
The understanding of basic developmental and physiologic processes permits a better understanding of diseases of the adrenal cortex. The information coming from investigation of the molecular pathology of adrenal cortical tumors is beginning to provide additional tests for the assessment of malignan...
|
PMID: 18684025
PDF is available here.
Abstract
With prevalent medicolegal pressure and restricted residents' work hours, a MLP-initiative to streamline the tertiary survey effectively addresses incidental findings. This MLP-driven care plan can help reduce residents' workload, provides appropriate follow-up, and minimizes legal risks inherent to...
|
PMID: 18695467
PDF is available here.
Raffaele Pugliese,
Marco Boniardi,
Fabio Sansonna,
Dario Maggioni,
Stefano De Carli,
Andrea Costanzi,
Ildo Scandroglio,
Giovanni Carlo Ferrari,
Stefano Di Lernia,
Carmelo Magistro,
Paola Loli and
Erika Grossrubatscher
Abstract
The aim of this study was to analyze feasibility and outcomes of laparoscopic adrenalectomy (LA). Pathology, size and bilateral site of lesions were considered. Between December 1998 and May 2007 in our institution a total of 68 patients of mean age of 53 years underwent unilateral (n=57) or bilater...
|
PMID: 17949973
PDF is available here.
Abstract
Arterial hypertension is a frequent and leading cardiovascular risk factor, and primary aldosteronism is a well-recognized cause of secondary hypertension. Aldosterone is the basic regulator of extracellular fluid volume and electrolyte balance. Alterations in plasma aldosterone levels significantly...
|
PMID: 18493881
PDF is available here.
Abstract
In this case report, a rare example of a pregnant woman with a huge adrenal cyst is reported. No other published reports were found to have an outcome like the present case. A 27-year-old primiparous patient admitted to our clinic with complaints of gaining weight, abdominal distension and dyspnea....
|
PMID: 18588613
PDF is available here.
Abstract
Serum and salivary cortisol correlated in the whole study population (r=0.62, p=0.000). Morning serum and saliva cortisol in Addison's disease were lower than in controls (6.74+/-1.69 vs 22.58+/-1.78 microg/dL, and 0.15+/-0.25 vs 0.67+/-0.12 microg/dL) (p<0.001). Morning serum cortisol was similar i...
|
PMID: 18280810
PDF is available here.
Abstract
Transperitoneal laparoscopic adrenalectomy is a feasible and safe procedure in urological groups with previous laparoscopic experience. Our results are similar to the published series and confirm the efficacy, safety and reproducibility of this technique....
|
PMID: 18709816
PDF is available here.
Abstract
We describe the case of a 50-year-old gentleman residing in western Sudan who presented with a 7-month history of generalized body weakness, easy fatigue, and frequent attacks of vomiting and diarrhea. Physical examination and laboratory investigations confirmed the diagnosis of Addison's disease du...
|
PMID: 18521476
PDF is available here.
Abstract
Hypertension is surgically curable in a small number of patients with adrenal hypertension, mostly in patients with Conn's adenomas or pheochromocytomas. Patients with resistant hypertension and/or hypokalemia should be screened for primary aldosteronism. The aldosterone to renin ratio is a logical...
|
PMID: 18672663
PDF is available here.