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Target Concepts:
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Query: UNIPROT:P01185 (
vasopressin
)
23,126
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A 45-year-old women had medullary tyroid carcinoma associated with Cushing's syndrome and
galactorrhoea
. Elevated plasma immunoreactive ACTH and cortisol were partially suppressed by intravenous dexamethasone, appreciably raised by lysine
vasopressin
, and urinary excretion of 17-oxogenic steroids slightly elevated by metyrapone. A large arterio-venous increase in plasma corticotrophin releasing factor-like activity across the thyroid gland was observed and tumour tissue contained corticotrophin releasing factor-like activity. Biologically active ACTH was not detected in tumour extracts before incubation with trypsin, but after trypsinization a value of 3.2 mU per gram was obtained. Arterial plasma contained biologically active ACTH (1.5 mU/100 ml) prior to trypsinization. Venous effluent from the thyroid gland contained biologically active (9.6 mU/100 ml) and immunoreactive ACTH (970 pg/ml) before trypsinization. Tumour extracts also contained prolactin production-stimulating activity. These findings can explain the Cushing's syndrome and the
galactorrhoea
both of which disappeared completely after thyroidectomy.
...
PMID:Medullary thyroid carcinoma: ectopic production of peptides with ACTH-like, corticotrophin releasing factor-like and prolactin production-stimulating activities. 18 33
Twelve patients (10 women and 2 men) with a primary empty sella turcica were studied. Endocrine function tests were performed as follows: growth hormone (GH) was measured after insulin-induced-hypoglycaemia, luteinizing hormone (LH) and follicle-stimulating hormone (FSH) after LH-releasing hormone, thyrotrophin (TSH) and prolactin after thyrotrophin-releasing hormone; pituitary reserve of adrenocorticotrophin (ACTH) was determined by measurement of plasma cortisol after lysine-
vasopressin
and 11 deoxycortisol after metyrapone. Five of the patients (group A) had no endocrine disturbance. Seven patients (group B) had a hypothalamo-pituitary disorder. Two of them had panhypopituitarism which appeared in one case after meningoencephalitis and in the other after a severe cranial trauma. In two cases an amenorrhoea-
galactorrhoea
syndrome with increased prolactin level (68 and 230 ng/ml) led to a diagnosis of a prolactin producing adenoma, which was confirmed by surgery. Finally three cases of amenorrhoeagalactorrhoea, with normal prolactin level, and/or diabetes insipidus remained unexplained. However, no causal relationship could be demonstrated between the pituitary disturbance and the "empty sella". Primary empty sella turcica is therefore a neuroanatomical and neuroradiological entity with no endocrine implication. A pituitary disorder might suggest a microadenoma or an incidentally associated disease.
...
PMID:The primary empty sella an endocrine study on 12 cases. 98 92
In a 20-year-old woman, a complicated full-term delivery was followed by a 14-month history of
galactorrhea
, amenorrhea, and symptoms of hypocortisolism. Evaluation revealed the presence of an empty sella, hyperprolactinemia, and an isolated pituitary deficiency of ACTH, resulting in secondary adrenal insufficiency. The defect in ACTH secretion was apparently due to intrinsic pituitary rather than hypothalamic disease, because administration of lysine
vasopressin
did not stimulate ACTH release. An empty sella with hyperprolactinemia has been described before. However, to the authors' knowledge, isolated ACTH deficiency as a complication of postpartum hypopituitarism (atypical Sheehan's syndrome) in association with an empty sella and hyperprolactinemia has not previously been reported.
...
PMID:Primary empty sella, hyperprolactinemia, and isolated ACTH deficiency after postpartum hemorrhage. 630 Dec 77
The clinical, radiologic, ophthalmologic, and endocrine features of nine patients with the syndrome of primary empty sella turcica are described. Pneumoencephalography was diagnostic in the eight patients in whom it was performed, while the remaining case was diagnosed by computerized axial tomography. In two patients alterations of the visual fields were found, while another had a hypertensive eye fundus. Endocrine studies were normal in four patients; the following abnormalities were found in the remaining five cases: one case of partial deficiency of
antidiuretic hormone
associated to secondary amenorrhea, one case of functional
galactorrhea
, one case of lack of response of growth hormone to insulin hypoglycemia, one case of hypothalamic deficiency of the hypothalamus-pituitary-thyroid axis, and one case of panhypopituitarism. Pneumoencephalography gave the best diagnostic results but because of its dangers it must be performed only when computerized axial tomography gives negative or equivocal information and the patient is not a typical case (female sex, obese, multiparous, hypertensive, and or diabetid) in the forties.
...
PMID:[Clinical, radiologic, ophthalmologic, and endocrine studies in the primary empty sella turcica syndrome (author's transl)]. 719 87
Neuromyelitis optica (NMO) has been reported to be associated with endocrinopathies, such as amenorrhea,
galactorrhea
, and diabetes mellitus. However, its association with the syndrome of inappropriate
antidiuretic hormone
secretion (SIADH) is extremely rare. We herein report an adult case of NMO with SIADH in a female Chinese patient. The patient was aquaporin-4 antibody positive, and her hypothalamic dysfunction may have been related to the development of SIADH.
...
PMID:Aquaporin-4 antibody positive neuromyelitis optica with syndrome of inappropriate antidiuretic hormone secretion. 2120 49