The unraveling of our knowledge of the functions of the adrenal
gland constitutes one exciting development of modern medicine and
biochemistry. We owe these advances to the felicitous cooperative
efforts of the clinical investigator and the biochemist. Three
centuries elapsed between the first recorded anatomical descrip
tion of the adrenals and the demonstration by Dr. Addison in the
mid-nineteenth century of the fatal results of the destruction of
these glands by disease. It became evident from this observation
that the adrenals secreted a "factor" or "factors" essential to
life. It took approximately 90 years to isolate this elusive vital
factor - cortisone - from beef adrenal cortices, independently by
both Reichstein and his co-workers in Basle and Kendall and his
group in the United States and another 10-15 years before it became
more generally available for experimental and clinical use. It is
perhaps difficult to believe that as recently as 35-40 years ago,
before cortisone and cortisol were clinically available, the
surgical removal of a benign adrenal cortical tumor in patients
with Cushing's syndrome was associated with a prohibitive
postoperative mortality rate. Within 12-36 h after operation, most
of such patients developed an intractable state of shock, which was
not manifested by significant electrolyte abnormalities or
hypoglycemia and was unresponsive to the usual treatment for shock
plus the generous use of salt-retaining hormone.
General
Imprint: |
Springer-Verlag
|
Country of origin: |
Germany |
Series: |
Monographs on Endocrinology, 22 |
Release date: |
2012 |
First published: |
1982 |
Authors: |
D.T. Krieger
|
Dimensions: |
244 x 170 x 8mm (L x W x T) |
Format: |
Paperback
|
Pages: |
144 |
Edition: |
Softcover reprint of the original 1st ed. 1982 |
ISBN-13: |
978-3-642-81661-1 |
Categories: |
Books >
Medicine >
Clinical & internal medicine >
Endocrinology >
General
Promotions
|
LSN: |
3-642-81661-4 |
Barcode: |
9783642816611 |
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