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Williams Textbook of Endocrinology E-Book

Williams Textbook of Endocrinology E-Book

Henry M. Kronenberg | Shlomo Melmed | Kenneth S. Polonsky | P. Reed Larsen

(2007)

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Book Details

Abstract

In your complex and dynamic field, it can be a struggle to continually integrate the latest scientific and clinical information into your everyday patient care. The 11th Edition of this beloved reference is the solution! Leading authorities provide just the right blend of scientific insight and clinical know-how to help you overcome any clinical challenge. A new full-color, extremely user-friendly format makes reference a snap. And, full-text online access lets you search the contents rapidly from any computer!

  • Chapters bridge the gap between basic science and clinical applications, providing the right context for optimal diagnosis and treatment.
  • Chapters by the leading authorities in endocrinology equip you with authoritative opinions on any challenge you face.
  • New chapters on hormones and athletic performance · neuroendocrine control of appetite and body weight · and HIV/AIDS keep you up to date on these timely topics.
  • New evidence-based screening algorithms and treatment boxes deliver reliable clinical guidance at a glance.
  • New full-color illustrations throughout help you grasp essential concepts easily.
  • Full-text online access lets you search the book instantly on your computer and download images for your next presentation.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Williams Textbook of Endocrinology iii
Copyright Page iv
Table of Contents xvii
CONTRIBUTORS v
PREFACE xv
CHAPTER 1. PRINCIPLES OF ENDOCRINOLOGY 3
Introduction 3
The Evolutionary Perspective 3
Endocrine Glands 5
Transport of Hormones in Blood 6
Target Cells as Active Participants 6
Control of Hormone Secretion 8
Hormone Measurement 10
Endocrine Diseases 10
Therapeutic Strategies 11
CHAPTER 2. THE ENDOCRINE PATIENT 12
General Considerations 12
Special Features of Endocrine Illness 12
Unique Features of Reproductive Disorders 13
Evaluation of Patients with Endocrine Disorders 13
Imaging 16
Conveying Results 16
Some New Features of Clinical Endocrinology 16
Management 17
CHAPTER 3. GENETIC CONTROL OF PEPTIDE HORMONE FORMATION 18
Evolution of Peptide Hormones and Their Functions 19
Steps in Expression of a Protein- Encoding Gene 19
Subcellular Structure of Cells that Secrete Protein Hormones 21
Intracellular Segregation and Transport of Polypeptide Hormones 21
Processes of Hormone Secretion 24
Structure of a Gene Encoding a Polypeptide Hormone 25
Regulation of Gene Expression 26
Generation of Biologic Diversi. cation 30
CHAPTER 4. MECHANISM OF ACTION OF HORMONES THAT ACT ON NUCLEAR RECEPTORS 37
Ligands that Act Via Nuclear Receptors 38
Subclasses of Nuclear Receptor Ligands 38
Orphan Receptors 39
Variant Receptors 39
Regulation of Ligand Levels 39
Nuclear Receptor Signaling Mechanisms 40
Domain Structure of Nuclear Receptors 40
Nuclear Localization 41
Hormone Binding 41
Target Gene Recognition by Receptors 42
Receptor Dimerization 42
Receptor Regulation of Gene Transcription 43
CHAPTER 5. MECHANISM OF ACTION OF HORMONES THAT ACT AT THE CELL SURFACE 47
Receptors 47
Hormone Binding 48
Regulation of Hormone Sensitivity 48
Receptor Tyrosine Kinases 48
Downstream Signaling Pathways 51
Off Signals: Termination of Hormone Action 53
Mechanisms of Disease 53
Receptor Serine Kinases 54
Receptors that Signal through Associated Tyrosine Kinases 55
G Protein–Coupled Receptors 58
G Protein–Coupled Receptor Interactions with Other Proteins 61
CHAPTER 6. LABORATORY TECHNIQUES FOR RECOGNITION OF ENDOCRINE DISORDERS 67
Types of Assays 67
Analytic Validation 75
Quality Assurance 78
CHAPTER 7. NEUROENDOCRINOLOGY 85
HISTORICAL PERSPECTIVE 85
NEURAL CONTROL OF GLANDULAR SECRETION 86
HYPOTHALAMIC-PITUITARY UNIT 88
CIRCUMVENTRICULAR ORGANS 92
PINEAL GLAND 94
HYPOPHYSEOTROPIC HORMONES AND NEUROENDOCRINE AXES 96
NEUROENDOCRINE DISEASE 136
CHAPTER 8. ANTERIOR PITUITARY 155
DEVELOPMENT, ANATOMY, AND OVERVIEW OF CONTROL OF HORMONE SECRETION 155
PITUITARY MASSES 159
PHYSIOLOGY AND DISORDERS OF PITUITARY HORMONE AXES 180
PITUITARY FAILURE 235
CHAPTER 9. POSTERIOR PITUITARY 263
ANATOMY 263
SYNTHESIS AND RELEASE OF NEUROHYPOPHYSEAL HORMONES 264
PHYSIOLOGY OF SECRETION OF VASOPRESSIN AND THIRST 264
DIABETES INSIPIDUS 268
TREATMENT OF DIABETES INSIPIDUS 273
THE SYNDROME OF INAPPROPRIATE ANTIDIURETIC HORMONE SECRETION 275
OXYTOCIN 286
CHAPTER 10. THYROID PHYSIOLOGY AND DIAGNOSTIC EVALUATION OF PATIENTS WITH THYROID DISORDERS 299
PHYLOGENY, EMBRYOLOGY, AND ONTOGENY 299
ANATOMY AND HISTOLOGY 300
IODINE AND THE SYNTHESIS AND SECRETION OF THYROID HORMONES 301
THYROID HORMONES IN PERIPHERAL TISSUES 305
REGULATION OF THYROID FUNCTION 312
PHYSICAL EVALUATION OF THE THYROID GLAND 318
LABORATORY ASSESSMENT OF THYROID STATUS 319
QUANTITATION OF SERUM THYROID HORMONE CONCENTRATIONS 320
CHAPTER 11. THYROTOXICOSIS 333
INTRODUCTION 333
CLINICAL MANIFESTATIONS OF THYROTOXICOSIS 333
LABORATORY DIAGNOSIS OF THYROTOXICOSIS 337
GRAVES’ DISEASE 337
INHERITED NONIMMUNE HYPERTHYROIDISM 360
TOXIC MULTINODULAR GOITER 360
TOXIC ADENOMA 361
IODIDE-INDUCED HYPERTHYROIDISM 362
HYPERTHYROIDISM DUE TO THYROTROPIN SECRETION 363
CHORIONIC GONADOTROPIN– INDUCED HYPERTHYROIDISM 364
TRANSIENT THYROTOXICOSIS 364
OTHER CAUSES OF THYROTOXICOSIS ASSOCIATED WITH A LOW RADIOIODINE UPTAKE 367
SUBCLINICAL (MILD) HYPERTHYROIDISM 368
CHAPTER 12. HYPOTHYROIDISM AND THYROIDITIS 377
HYPOTHYROIDISM 377
CLINICAL PRESENTATION 378
CURRENT CLINICAL PICTURE 384
LABORATORY EVALUATION 385
CLASSIFICATION 387
TREATMENT 397
SPECIAL ASPECTS OF HYPOTHYROIDISM 400
HEART DISEASE AND THYROID HORMONE THERAPY 401
SCREENING FOR PRIMARY HYPOTHYROIDISM 402
MYXEDEMA COMA 402
THYROIDITIS 403
ACUTE INFECTIOUS THYROIDITIS 403
RIEDEL’S THYROIDITIS 404
MISCELLANEOUS CAUSES 405
CHAPTER 13. NONTOXIC DIFFUSE AND NODULAR GOITER AND THYROID NEOPLASIA 411
EVALUATION OF STRUCTURAL ABNORMALITIES BY IMAGING TECHNIQUES 411
NONTOXIC GOITER: DIFFUSE AND NODULAR 414
MANAGEMENT OF MALIGNANT NODULAR GOITER 420
SURGICAL TREATMENT OF THYROID CARCINOMA 431
POSTOPERATIVE MANAGEMENT 432
FOLLOW-UP 433
CHAPTER 14. THE ADRENAL CORTEX 445
THE ADRENAL CORTEX— HISTORICAL MILESTONES 445
ANATOMY 445
ADRENAL STEROIDS AND STEROIDOGENESIS 446
CORTICOSTEROID HORMONE ACTION 453
CLASSIFICATION AND PATHOPHYSIOLOGY OF CUSHING’S SYNDROME 464
GLUCOCORTICOID DEFICIENCY 477
CONGENITAL ADRENAL HYPERPLASIA 485
ADRENAL ADENOMAS, INCIDENTALOMAS, AND CARCINOMAS 494
CHAPTER 15. ENDOCRINE HYPERTENSION 505
ADRENAL MEDULLA AND CATECHOLAMINES 505
PHEOCHROMOCYTOMA AND PARAGANGLIOMA 507
RENIN-ANGIOTENSINALDOSTERONE SYSTEM 522
PRIMARY ALDOSTERONISM 523
OTHER ENDOCRINE DISORDERS ASSOCIATED WITH HYPERTENSION 531
CHAPTER 16. THE PHYSIOLOGY AND PATHOLOGY OF THE FEMALE REPRODUCTIVE AXIS 541
REPRODUCTIVE PHYSIOLOGY 541
REPRODUCTIVE FUNCTIONS OF THE HYPOTHALAMUS 543
REPRODUCTIVE FUNCTIONS OF THE ANTERIOR PITUITARY 545
OVARY 546
ENDOMETRIUM 563
APPROACH TO THE WOMAN WITH REPRODUCTIVE DYSFUNCTION 567
DISORDERS OF THE FEMALE REPRODUCTIVE SYSTEM 569
DIFFERENTIAL DIAGNOSIS AND MANAGEMENT OF ANOVULATORY UTERINE BLEEDING 590
HORMONE-DEPENDENT BENIGN GYNECOLOGIC DISORDERS 595
MANAGEMENT OF THE MENOPAUSE 596
POSTMENOPAUSAL HORMONE REPLACEMENT 599
CHAPTER 17. HORMONAL CONTRACEPTION 615
ORAL CONTRACEPTION 615
VAGINAL AND TRANSDERMAL STEROID CONTRACEPTION 626
INJECTABLE CONTRACEPTION 628
IMPLANT CONTRACEPTION 631
CHAPTER 18. TESTICULAR DISORDERS 645
PHYSIOLOGIC REGULATION OF TESTICULAR FUNCTION: SEX-STEROID PRODUCTION AND ACTION 645
TESTICULAR DISORDERS 652
INFERTILITY AND SUBFERTILITY IN MEN 673
TESTICULAR NEOPLASMS 679
ILLICIT USE OF ANDROGENS BY ATHLETES AND RECREATIONAL BODY BUILDERS 680
CHAPTER 19. SEXUAL DYSFUNCTION IN MEN AND WOMEN 701
SEXUAL DISORDERS IN MEN 701
WOMEN’S SEXUAL DYSFUNCTION 717
CHAPTER 20. ENDOCRINE CHANGES IN PREGNANCY 741
Placental Development 741
Maternal Adaptations to Pregnancy 742
Placental Hormone Production 745
CHAPTER 21. ENDOCRINOLOGY OF FETAL DEVELOPMENT 755
PLACENTAL HORMONE TRANSFER 755
ECTOPIC FETAL HORMONE PRODUCTION 756
FETAL ENDOCRINE SYSTEMS 756
NEUTRALIZATION OF HORMONE ACTIONS IN THE FETUS 769
FETAL GROWTH 770
TRANSITION TO EXTRAUTERINE LIFE 773
PROGRAMMING OF DEVELOPING ENDOCRINE SYSTEMS 775
MATERNAL AND FETAL MEDICINE 776
CHAPTER 22. DISORDERS OF SEX DEVELOPMENT 783
INTRODUCTION 783
DEVELOPMENT OF THE REPRODUCTIVE SYSTEMS 783
DISORDERS OF SEX DEVELOPMENT 800
INVESTIGATION AND MANAGEMENT OF DISORDERS OF SEX DEVELOPMENT 836
CHAPTER 23. NORMAL AND ABERRANT GROWTH 849
NORMAL GROWTH 849
ENDOCRINE REGULATION OF GROWTH 857
GROWTH RETARDATION 880
TREATMENT OF GROWTH DISORDERS 913
EXCESS GROWTH AND TALL STATURE 929
CHAPTER 24. PUBERTY: ONTOGENY, NEUROENDOCRINOLOGY, PHYSIOLOGY, AND DISORDERS 969
INTRODUCTION 969
PHYSICAL CHANGES OF PUBERTY 975
CENTRAL NERVOUS SYSTEM ANATOMY, FUNCTION, AND EEG RHYTHM 998
HORMONAL AND METABOLIC CHANGES IN PUBERTY 1001
CENTRAL NERVOUS SYSTEM AND PUBERTY 1009
ADRENAL ANDROGENS AND ADRENARCHE 1031
DISORDERS OF PUBERTY 1033
HYPERGONADOTROPIC HYPOGONADISM: SEXUAL INFANTILISM CAUSED BY PRIMARY GONADAL DISORDERS 1051
SEXUAL PRECOCITY 1067
VARIATIONS OF PUBERTAL DEVELOPMENT 1104
CHAPTER 25. HORMONES AND ATHLETIC PERFORMANCE 1167
EFFECT OF ATHLETIC PERFORMANCE ON HORMONAL SYSTEMS 1167
PERFORMANCE-ENHANCING (AB)USE OF HORMONES 1175
CHAPTER 26. ENDOCRINOLOGY AND AGING 1185
THE ENDOCRINOLOGY OF AGING 1185
CHAPTER 27. HORMONES AND DISORDERS OF MINERAL METABOLISM 1203
BASIC BIOLOGY OF MINERAL METABOLISM 1203
CLINICAL DISORDERS 1224
CHAPTER 28. METABOLIC BONE DISEASE 1269
STRUCTURE AND FUNCTION OF THE SKELETON 1269
BONE REMODELING AND ITS REGULATION 1275
CLINICAL EVALUATION OF METABOLIC BONE DISEASE 1279
OSTEOPOROSIS 1282
RICKETS AND OSTEOMALACIA 1290
HYPERPARATHYROID BONE DISEASE 1293
PAGET’S DISEASE 1294
OSTEOGENESIS IMPERFECTA 1296
OSTEOPETROSIS 1298
OTHER SCLEROSING BONE DISORDERS 1299
FIBROUS DYSPLASIA 1299
EXTRASKELETAL CALCIFICATION AND OSSIFICATION 1300
CHAPTER 29. KIDNEY STONES 1311
Stone Formation 1311
Pathogenesis of Stone Formation 1311
Presentation and Evaluation 1315
Therapy 1319
CHAPTER 30. TYPE 2 DIABETES MELLITUS 1329
EPIDEMIOLOGY AND DIAGNOSIS 1329
PATHOGENESIS 1331
MEASURES TO IMPROVE INSULIN SENSITIVITY 1342
MECHANISMS THAT LINK CARDIOVASCULAR DISEASE AND INSULIN RESISTANCE 1343
INSULIN SECRETION AND TYPE 2 DIABETES 1347
RODENT MODELS OF TYPE 2 DIABETES 1355
MANAGEMENT OF TYPE 2 DIABETES 1358
CHAPTER 31. TYPE 1 DIABETES MELLITUS 1391
Differential Diagnosis of Type 1 Diabetes 1391
Animal Models of Type 1A Diabetes 1392
Histopathology of Type 1A Diabetes 1393
Genetics of Type 1A Diabetes 1393
Environmental Factors 1397
Natural History of Type 1A Diabetes 1398
Immunotherapy of Type 1A Diabetes 1400
Immunology of Pancreatic Islet Transplantation 1401
Insulin Autoimmune Syndrome 1401
Anti-Insulin Receptor Autoantibodies 1401
Clinical Presentation 1401
Laboratory Findings 1402
Treatment of Type 1 Diabetes 1402
Acute Diabetic Emergencies: Diabetic Ketoacidosis 1407
CHAPTER 32. COMPLICATIONS OF DIABETES MELLITUS 1417
BIOCHEMISTRY AND MOLECULAR CELL BIOLOGY 1417
RETINOPATHY, MACULAR EDEMA, AND OTHER OCULAR COMPLICATIONS* 1432
DIABETIC NEPHROPATHY 1443
DIABETIC NEUROPATHIES 1450
CORONARY HEART DISEASE 1471
THE DIABETIC FOOT 1478
CHAPTER 33. GLUCOSE HOMEOSTASIS AND HYPOGLYCEMIA 1503
Physiology of Systemic Glucose Regulation 1503
Pathophysiology of Hypoglycemia 1509
Hypoglycemia in Diabetes Mellitus 1511
Hypoglycemic Disorders 1518
Treatment of Postabsorptive Hypoglycemia 1527
Approach to the Patient with Hypoglycemia 1528
CHAPTER 34. NEUROENDOCRINE CONTROL OF ENERGY STORES 1537
INTRODUCTION AND HISTORICAL PERSPECTIVE 1537
FEEDING AND SATIETY CIRCUITS 1538
CENTRAL NERVOUS SYSTEM CONTROL OF THERMOGENESIS 1542
HORMONAL REGULATORS OF THE BRAIN-GUT-ADIPOSE AXIS 1543
GLUCOCORTICOIDS AND GONADAL STEROIDS 1548
CYTOKINES AND ENERGY BALANCE 1548
INTERSECTION OF ENERGY BALANCE AND REWARD CIRCUITS 1551
NEUROENDOCRINE DISORDERS OF ENERGY HOMEOSTASIS 1552
CHAPTER 35. OBESITY 1563
De. nition of Obesity 1563
Physiology of Energy Homeostasis 1564
Pathogenesis 1565
Energy Metabolism 1567
Adipose Tissue and Triglyceride Metabolism 1567
Adipose Tissue as an Endocrine Organ 1568
Adipocyte Biology 1569
Prevalence of Obesity 1570
Clinical Features and Complications of Obesity 1570
Bene. ts of Intentional Weight Loss 1573
Obesity Therapy 1574
Treatment Guidelines 1580
CHAPTER 36. DISORDERS OF LIPID METABOLISM 1589
Lipid Biochemistry and Cholesterol Metabolism 1589
Plasma Lipoproteins. Apolipoproteins, Receptors, and Enzymes 1593
Plasma Lipoproteins. Structure, Function, and Metabolism 1604
Lipids and Atherosclerosis 1610
Hyperlipidemia and Dyslipidemia. De. nitions and Overview 1614
Primary Disorders of Hyperlipidemia 1614
Primary Disorders of High-Density Lipoprotein Metabolism 1625
Primary Genetic Hypolipidemias 1627
Other Rare Primary Lipid Disorders 1629
Secondary Disorders of Lipid Metabolism 1629
Treatment of Lipid Disorders 1631
CHAPTER 37. ENDOCRINOLOGY OF HIV AND AIDS 1655
Adrenal Function 1655
Gonadal Function 1657
Thyroid Function 1660
Fluid Balance and Electrolytes 1661
Bone 1661
Growth Hormone 1662
Glucose Homeostasis and Pancreatic Function 1664
AIDS Wasting Syndrome 1664
HIV Lipodystrophy Syndrome 1665
CHAPTER 38. GASTROINTESTINAL HORMONES AND GUT ENDOCRINE TUMORS 1675
Endocrine Cell Development in the Pancreas 1675
Endocrine Cell Development in the Intestine 1676
Pancreatic and Gut Hormones 1677
Pancreatic and Gut Endocrine Tumors 1684
Summary 1691
CHAPTER 39. PATHOGENESIS OF ENDOCRINE TUMORS 1697
Molecular Tumor Biology 1697
Genetic Alterations in Endocrine Tumors: Examples 1701
CHAPTER 40. MULTIPLE ENDOCRINE NEOPLASIA 1705
Overview of Multiple Endocrine Neoplasia Syndromes 1705
Multiple Endocrine Neoplasia Type 1 1706
Multiple Endocrine Neoplasia Type 2 1719
Multiple Endocrine Neoplasia of Mixed Type 1733
CHAPTER 41. THE IMMUNOENDOCRINOPATHY SYNDROMES 1747
Autoimmunity Primer 1748
Natural History of Autoimmune Disorders 1749
Autoimmune Polyendocrine Syndrome Type I 1751
Autoimmune Polyendocrine Syndrome Type II 1754
Other Polyendocrine De. ciency Autoimmune Syndromes 1755
Conclusion 1758
CHAPTER 42. ENDOCRINE-RESPONSIVE CANCER 1763
BREAST CANCER 1763
ENDOMETRIAL CANCER 1783
PROSTATE CANCER 1785
CHAPTER 43. HUMORAL MANIFESTATIONS OF MALIGNANCY 1803
Inappropriate Hormone Secretion in Malignancy 1803
Malignancy-Associated Hypercalcemia 1807
Syndrome of Inappropriate Vasopressin Secretion 1809
Ectopic Corticotropin Syndrome and Ectopic Secretion of Corticotropin- Releasing Hormone 1812
Ectopic Secretion of Corticotropin- Releasing Hormone 1814
Hypoglycemia with Nonislet Cell Tumors 1814
Syndromes Caused By Growth Hormone-Releasing Hormone, Growth Hormone, and Human Placental Lactogen 1815
Oncogenic Osteomalacia 1816
Syndromes Caused By Other Hormones 1816
CHAPTER 44. CARCINOID TUMORS, THE CARCINOID SYNDROME, AND RELATED DISORDERS 1821
Phylogenesis and Embryology 1821
Molecular Genetics 1822
Classi. cation 1822
Biochemistry 1823
Diagnosis 1829
Treatment 1831
Prognosis 1834
Other Flushing Disorders 1834
INDEX 1841