Abstrakt: |
The busy practitioner, who rarely confronts diseases of the adrenal gland, will welcome this monograph. In just 125 actual text pages, the authors summarize current knowledge (from almost 400 listed references) of diseases of the adrenal gland. They season this well with their own experiences.Without any adrenocortical hormones, the average human would die in about a week. Diseases of adrenal hormone overproduction are equally dramatic. The book centers on Cushing's syndrome, aldosteronism, pheochromocytoma, and syndromes of sex-hormone excesses. Crisp, welltailored discussions of these clinical syndromes highlight this book. Although the authors discuss the wide array of diagnostic and therapeutic options, they clearly state their own preferences. For example, in discussing whether hypophyseal irradiation, bilateral total adrenalectomy, or subtotal adrenalectomy is the best treatment for Cushing's disease, they conclude "... the safest and surest form of therapy for the correction of the hypercortisolemia of nontumorous Cushing's disease is total bilateral adrenalectomy." |