[Endocrine abnormalities in patients with chronic renal failure - part II]. / Zaburzenia endokrynologiczne u chorych z przewlekla niewydolnoscia nerek - czesc II.
Pol Merkur Lekarski
; 38(227): 293-9, 2015 May.
Article
en Pl
| MEDLINE
| ID: mdl-26039027
ABSTRACT
The kidneys play a crucial role in maintaining homeostasis of fluids and electrolytes, acid-base balance, and volume regulation. In subjects with chronic renal failure, particularly at its later stages, these adaptive responses are impaired and some of these alterations are of clinical relevance. The ways in which chronic renal failure affects function of endocrine organs include impaired secretion of kidney-derived hormones, altered peripheral hormone metabolism, disturbed binding to carrier proteins, accumulation of hormone inhibitors, as well as abnormal target organ responsiveness. Apart from secondary hyperparathyroidism, thyroid dysfunction and impaired growth, reviewed in our previous study, endocrine disturbances that most frequently affect this group of patients include abnormal functioning of the hypothalamic-pituitary-adrenal and hypothalamicpituitary- gonadal axes, bone loss and gynecomastia. The clinical picture and laboratory findings of these endocrine disturbances depend on the treatment strategy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades del Sistema Endocrino
/
Fallo Renal Crónico
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
Pl
Revista:
Pol Merkur Lekarski
Asunto de la revista:
MEDICINA
Año:
2015
Tipo del documento:
Article
País de afiliación:
Polonia