Terapia de reposição hormonal no hipopituitarismo
| Autor: | Rogerio Silicani Ribeiro, Manoel Ricardo Alves Martins, Julio Abucham, Teresa C. Alfinito Vieira, Erika Ribeiro Barbosa |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Infertility
Pediatrics medicine.medical_specialty Vasopressin Endocrinology Diabetes and Metabolism Diabetes insipidus Hypopituitarism Infertilidade Internal medicine medicine Central hypothyroidism Hormone replacement therapy TSH business.industry Thyroid General Medicine medicine.disease GH ACTH medicine.anatomical_structure Endocrinology Hipopituitarismo business Gonadotrofinas Reposição hormonal Hormone |
| Zdroj: | Arquivos Brasileiros de Endocrinologia & Metabologia v.47 n.4 2003 Arquivos Brasileiros de Endocrinologia & Metabologia Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) instacron:SBEM |
| ISSN: | 0004-2730 |
| Popis: | This article brings an updated review of hypopituitarism with emphasis in hormone replacement therapy. The physiological basis of hormone replacement therapy and practical aspects of treating hypopituitary patients were both taken into account to provide a rational strategy for treatment. The review is organized by individual pituitary hormone deficiency and covers epidemiology, etiology, clinical presentation, and diagnosis of hypopituitarism, as well as the most relevant hormone preparations currently available for treating each hormone deficiency. Practical guidelines to hormone dosing, routes of administration, side effects and clinical and laboratory monitoring during the entire lifespan are given for each individual hormone replacement therapy: growth hormone in GH-deficient children and adults, thyroid hormone in central hypothyroidism, glucocorticoid in central hypoadrenalism, vasopressin analogs in diabetes insipidus, sex hormones in man and women from puberty to senescence, and gonadotropins for treating infertility. In addition to the literature review, we took into account our own experience of more than two decades in investigating, diagnosing, and treating hypopituitary patients at the Universidade Federal de Sao Paulo. |
| Databáze: | OpenAIRE |
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