Endocrinology
Adult and Pediatric
Sixth Edition
J. Larry Jameson, MD, PhD
Professor of Medicine, Dean, Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Leslie J. De Groot, MD
Research Professor, Cellular and Life Sciences, University of Rhode Island, Providence Campus, Providence, Rhode Island
Saunders
Front Matter
Endocrinology
ADULT AND PEDIATRIC
6th Edition
Senior Editors
J. Larry Jameson, MD, PhD Professor of Medicine, Dean, Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Leslie J. De Groot, MD Research Professor, Cellular and Life Sciences, University of Rhode Island, Providence Campus, Providence, Rhode Island
Section Editors
David de Kretser, AO, FAA, FTSE, MD, FRACP Emeritus Professor, Monash Institute of Medical Research, Monash University, Clayton, Melbourne, Victoria, Australia
Ashley Grossman, BA, BSc, MD, FRCP, FMedSci Professor of Neuroendocrinology, Endocrinology, St. Bartholomews Hospital, London, United Kingdom
John C. Marshall, MD, PhD Andrew D. Hart Professor of Internal Medicine, Director C enter for Research in Reproduction, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia
Shlomo Melmed, MD Senior Vice President, Academic Affairs and Dean of, the Faculty, Cedars Sinai Medical Center, Los Angeles, California
John T. Potts, Jr, MD Jackson Distinguished Professor of Clinical Medicine, Harvard Medical School; Director of Research and Physician-in-Chief Emeritus, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
Gordon C. Weir, MD Head, Section on Islet Transplantation and Cell Biology, Diabetes Research and Wellness Foundation Chair, Joslin Diabetes Center; Professor of Medicine, Harvard Medical School, Boston, Massachusetts
Associate Editor
Harald Jppner, MD Professor of Pediatrics, Endocrine Unit and Pediatric Nephrology Unit, Massachusetts General Hospital and Harvard Medical, School, Boston, Massachusetts
With 1317 illustrations and 26 color plates
Copyright
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
Endocrinology Part number: 9-9960-7447-1 (vol 1)
Part number: 9-9960-7441-2 (vol 2)
ISBN: 978-1-4160-5583-9 (set)
Copyright 2010, 2006, 2001, 1995, 1989, 1979 by Saunders, an affiliate of Elsevier Inc.
.
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment, and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Authors assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.
The Publisher
Library of Congress Cataloging-in-Publication Data
Endocrinology / senior editors, Leslie J. De Groot, J. Larry Jameson ; section editors, Ashley Grossman [et al.].6th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-1-4160-5583-9 (v.1 & v.2 : hardback : alk. paper)
ISBN-13: 978-9996074479 (v.1 : hardback : alk. paper)
ISBN-10: 9996074471 (v.1 : hardback : alk. paper)
ISBN-13: 978-9996074417 (v.2 : hardback : alk. paper)
[etc.]
1. Endocrine glandsDiseases. 2. Endocrinology. I. De Groot, Leslie J. II. Jameson, J. Larry.
[DNLM: 1. Endocrine System Diseases. 2. Endocrine Glands. 3. Hormones. WK 140 E5585 2010]
RC648.E458 2010
616.4dc22
2010001335
Acquisitions Editor: Pamela Hetherington
Developmental Editor: Mary Beth Murphy
Publishing Services Manager: Catherine Jackson
Senior Project Manager: Rachel E. McMullen
Design Direction: Ellen Zanolle
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Contributors
Lloyd Paul Aiello, MD, PhD, Director, Beetham Eye Institute, Joslin Diabetes Center
Associate Professor of Ophthalmology, Harvard Medical School
Department of Ophthalmology, Harvard Medical School
Joslin Diabetes Center
Boston, Massachusetts
Erik K. Alexander, MD, Assistant Professor of Medicine
Department of Medicine
Brigham & Womens Hospital/Harvard Medical School
Boston, Massachusetts
Carolyn A. Allan, MBBS(Hons), PhD, DRCOG(UK), FRACP, Postdoctoral Research Fellow
Prince Henrys Institute;
Honorary Senior Lecturer
Department of Obstetrics and Gynaecology
Monash University;
Endocrinologist
Monash Medical Centre
Clayton, Victoria, Australia
Bruno Allolio, MD, Professor of Medicine
Deptartment of Endocrinology and Diabetes
Med. Univ. Hospital
University of Wuerzburg
Wuerzburg, Germany
Peter Angelos, MD, PhD, FACS, Professor and Chief of Endocrine Surgery
The University of Chicago
Chicago, Illinois
Sree Appu, Department of Surgery, Monash University
Consultant Urologist
Monash Medical Centre
Melbourne, Australia
Richard J. Auchus, MD, PhD, The Charles A. and Elizabeth Ann Sanders Chair in Translational Research and Professor
Internal Medicine, Division of Endocrinology and Metabolism
The University of Texas Southwestern Medical Center at Dallas
Dallas, Texas
Joseph Avruch, MC, Professor of Medicine
Harvard Medical School;
Physician and Chief
Diabetes Unit
Member
Department of Molecular Biology
Massachusetts General Hospital
Boston, Massachusetts
Lloyd Axelrod, MD, Associate Professor of Medicine
Department of Medicine
Harvard Medical School;
Physician and Chief of the James Howard Means Firm Medical Services
Massachusetts General Hospital
Boston, Massachusetts
Rebecca S. Bahn, MD, Professor of Medicine
Endocrinology, Diabetes, Metabolism and Nutrition
Mayo Clinic
Rochester, Minnesota
H.W.G. Baker, MD, PhD, FRACP, Professor
University of Melbourne Department of Obstetrics and Gynaecology
The Royal Womens Hospital
Victoria, Australia
Randall B. Barnes, MD, Associate Professor
Obstetrics and Gynecology
Northwestern University, Feinberg School of Medicine
Chicago, Illinois
Murat Bastepe, MD, PhD, Assistant Professor of Medicine
Endocrine Unit, Department of Medicine
Massachusetts General Hospital and Harvard Medical School
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