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Adrenal Gland Disorders01:27

Adrenal Gland Disorders

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Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
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Cushing Syndrome II: Pathophysiology01:19

Cushing Syndrome II: Pathophysiology

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Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features...
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Cushing Syndrome I: Introduction01:26

Cushing Syndrome I: Introduction

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Cushing syndrome refers to the collection of clinical manifestations that arise when tissues are exposed to excessive amounts of cortisol or cortisol-like medications over an extended period. Cortisol, a glucocorticoid produced by the adrenal cortex, regulates metabolism, immune responses, and the body’s adaptation to stress. When its concentration remains chronically elevated, these physiological pathways become dysregulated, resulting in the characteristic features of the...
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Hormones of the Adrenal Glands01:31

Hormones of the Adrenal Glands

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Adrenal hormones play a pivotal role in maintaining the body's electrolyte balance and orchestrating responses to stress, showcasing the intricate functions of the adrenal cortex and medulla.
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and...
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Anatomy of the Adrenal Glands01:17

Anatomy of the Adrenal Glands

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The adrenal or supra-renal glands, situated above the kidneys and aligned with the twelfth rib, are paired pyramid-shaped structures crucial for the body's stress response. During stress, these glands secrete hormones vital for adaptive physiological reactions.
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct...
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Hypothalamic-Pituitary Axis01:37

Hypothalamic-Pituitary Axis

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The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
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A Novel Method: Super-selective Adrenal Venous Sampling
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Insuficiencia suprarrenal insuficiencia suprarrenal.

Evangelia Charmandari1, Nicolas C Nicolaides1, George P Chrousos1

  • 1Division of Endocrinology, Metabolism, and Diabetes, First Department of Pediatrics, University of Athens Medical School, Aghia Sophia Children's Hospital, Athens, Greece; Division of Endocrinology and Metabolism, Clinical Research Center, Biomedical Research Foundation of the Academy of Athens, Athens, Greece.

Lancet (London, England)
|February 8, 2014
PubMed
Resumen

La insuficiencia suprarrenal, una condición potencialmente mortal de cortisol deficiente, requiere un diagnóstico y un tratamiento rápidos. Este resumen cubre sus causas, síntomas y tratamiento para mejores resultados para los pacientes.

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Área de la Ciencia:

  • Endocrinología Endocrinología.
  • Medicina interna es la medicina interna de las enfermedades.

Sus antecedentes:

  • La insuficiencia suprarrenal implica una producción o acción deficientes de glucocorticoides, que pueden afectar a los mineralocorticoides y los andrógenos.
  • Se deriva de la insuficiencia suprarrenal primaria o el deterioro secundario del eje hipotálamo-pituitario.
  • Este trastorno potencialmente mortal requiere un diagnóstico e intervención oportunos.

Objetivo del estudio:

  • Para proporcionar una visión general de la insuficiencia adrenal.
  • Resumir los conocimientos actuales sobre su epidemiología, fisiopatología y aspectos clínicos.
  • Para detallar el diagnóstico y las estrategias de gestión.

Principales métodos:

  • Revisión de la literatura y síntesis de los conocimientos existentes.
  • Análisis de datos epidemiológicos, mecanismos causales y fisiopatología.
  • Compilación de manifestaciones clínicas, enfoques de diagnóstico y pautas de tratamiento.

Principales resultados:

  • La insuficiencia suprarrenal se presenta con signos clínicos variados dependiendo de las hormonas afectadas y la causa subyacente.
  • La insuficiencia primaria involucra todas las hormonas adrenocorticales, potencialmente con comorbilidades autoinmunes.
  • La insuficiencia secundaria / terciaria es principalmente el resultado de la deficiencia de glucocorticoides.

Conclusiones:

  • El diagnóstico preciso puede ser un desafío, especialmente en casos secundarios o terciarios.
  • Comprender la naturaleza multifacética de la insuficiencia adrenal es crucial para un manejo eficaz.
  • Esta revisión consolida los conocimientos actuales para la aplicación clínica y la investigación adicional.