Preface | p. ix |
Preface to the First Edition | p. xi |
Contributing Authors | p. xiii |
The Normal Thyroid | |
History, Ontogeny, and Anatomy | |
The Heritage of the Thyroid | p. 3 |
Normal Development of the Hypothalamic-Pituitary-Thyroid Axis | p. 7 |
Anatomy | |
Comparative Anatomy and Physiology | p. 20 |
Anatomy and Pathology of the Thyrotrophs | p. 43 |
Thyroid Synthesis and Secretion | |
Thyroid Hormone Synthesis | |
Thyroid Iodide Transport: The Na[superscript +]/I[superscript -] Symporter (NIS) | p. 52 |
Hormone Synthesis: Thyroid Iodine Metabolism | p. 61 |
Autoregulatory Actions of Iodine | p. 85 |
Thyroglobulin: Chemistry, Biosynthesis, and Proteolysis | p. 91 |
Peripheral Hormone Metabolism | |
Thyroid Hormone Transport Proteins and the Physiology of Hormone Binding | p. 105 |
Nature and Sources of Circulating Thyroid Hormones | p. 121 |
Intracellular Pathways of Iodothyronine Metabolism | p. 136 |
Thyroid Hormone Action | |
Molecular Actions of Thyroid Hormone | p. 174 |
Thyroid Hormone Structure-Function Relationships | p. 196 |
Factors that Control Thyroid Function | |
Thyrotropin | |
Chemistry and Biosynthesis of Thyrotropin | p. 202 |
The Thyrotropin Receptor | p. 219 |
Biological Actions of Thyrotropin | p. 227 |
Regulation of Thyrotropin Secretion | p. 234 |
Intrinsic and Extrinsic Variables Age-Related Changes in Thyroid Function | p. 254 |
Environmental Influences upon Thyroid Hormone Regulation | p. 257 |
Effects of Drugs and Other Substances on Thyroid Hormone Synthesis and Metabolism | p. 265 |
Nonthyroidal Illness | p. 281 |
Iodine Deficiency | p. 295 |
Effect of Excess Iodide: Clinical Aspects | p. 316 |
Laboratory Assessment of Thyroid Function | |
Radioisotopes and Direct Tests of Thyroid Function | |
Radiation Physics | p. 333 |
Biologic Effects of Radioiodines on the Human Thyroid Gland | p. 345 |
In Vivo Radionuclide Tests and Imaging | p. 355 |
Serum Thyrotropin and Thyroid Hormone Measurements and Assessment of Thyroid Hormone Transport | p. 376 |
Miscellaneous Tests | |
Metabolic, Physiologic, and Clinical Indexes of Thyroid Function | p. 393 |
Thyroglobulin | p. 402 |
Thyroid-directed Antibodies | p. 414 |
Nonisotopic Techniques of Thyroid Imaging | p. 432 |
Evaluation of Thyroid Nodules by Needle Biopsy | p. 441 |
Introduction to Thyroid Diseases | |
Surgical Anatomy | p. 455 |
Physical Examination of the Thyroid Gland | p. 462 |
The Epidemiology of Thyroid Diseases | p. 467 |
Genetic Factors in Thyroid Disease | p. 474 |
Pathology of Thyroid Diseases | p. 488 |
Thyroid Diseases: Thyrotoxicosis | |
Introduction | |
Introduction to Thyrotoxicosis | p. 515 |
Causes of Thyrotoxicosis | |
Graves' Disease | |
Pathogenesis | p. 518 |
Ophthalmopathy | p. 531 |
Localized Myxedema and Thyroid Acropachy | p. 548 |
Thyrotropin-induced Hyperthyroidism | p. 556 |
Toxic Adenoma and Toxic Multinodular Goiter | p. 564 |
Hyperthyroidism Caused by Chorionic Gonadotropin | p. 573 |
Sporadic Silent Thyroiditis, Postpartum Thyroiditis, and Subacute Thyroiditis | p. 578 |
Thyrotoxicosis of Extrathyroid Origin | p. 590 |
Organ System Manifestations of Thyrotoxicosis | |
The Skin in Thyrotoxicosis | p. 593 |
The Cardiovascular System in Thyrotoxicosis | p. 596 |
The Pulmonary System in Thyrotoxicosis | p. 605 |
The Kidneys and Electrolyte Metabolism in Thyrotoxicosis | p. 617 |
The Gastrointestinal Tract and Liver in Thyrotoxicosis | p. 622 |
The Blood in Thyrotoxicosis | p. 627 |
The Neuromuscular System and Brain in Thyrotoxicosis | p. 631 |
The Pituitary in Thyrotoxicosis | p. 634 |
The Adrenal Cortex in Thyrotoxicosis | p. 637 |
Catecholamines and the Sympathoadrenal System in Thyrotoxicosis | p. 642 |
The Male and Female Reproductive Systems in Thyrotoxicosis | p. 652 |
The Skeletal System in Thyrotoxicosis | p. 659 |
Metabolic Changes in Thyrotoxicosis | p. 667 |
Behavioral and Psychiatric Aspects of Thyrotoxicosis | p. 673 |
Thyrotoxic Storm | p. 679 |
Management of Thyrotoxicosis | |
Diagnosis of Thyrotoxicosis | p. 685 |
Treatment of Thyrotoxicosis | p. 691 |
Thyroid Diseases: Hypothyroidism | |
Introduction | |
Introduction to Hypothyroidism | p. 719 |
Causes of Hypothyroidism | |
Chronic Autoimmune Thyroiditis | p. 721 |
Hereditary Metabolic Disorders Causing Hypothyroidism | p. 733 |
Endemic Cretinism | p. 743 |
Primary Hypothyroidism Due to Other Causes | p. 755 |
Central Hypothyroidism | p. 762 |
Organ System Manifestations of Hypothyroidism | |
The Skin and Connective Tissue in Hypothyroidism | p. 774 |
The Cardiovascular System in Hypothyroidism | p. 777 |
The Pulmonary System in Hypothyroidism | p. 783 |
The Kidneys and Electrolyte Metabolism in Hypothyroidism | p. 790 |
The Gastrointestinal Tract and Liver in Hypothyroidism | p. 795 |
The Blood in Hypothyroidism | p. 800 |
The Neuromuscular System and Brain in Hypothyroidism | p. 803 |
The Pituitary in Hypothyroidism | p. 811 |
The Adrenal Cortex in Hypothyroidism | p. 815 |
Catecholamines and the Sympathoadrenal System in Hypothyroidism | p. 820 |
The Male and Female Reproductive Systems in Hypothyroidism | p. 824 |
The Skeletal System in Hypothyroidism | p. 828 |
Metabolic Changes in Hypothyroidism | p. 833 |
Behavioral and Psychiatric Aspects of Hypothyroidism | p. 837 |
Myxedema Coma | p. 843 |
Management of Hypothyroidism | |
Diagnosis of Hypothyroidism | p. 848 |
Treatment of Hypothyroidism | p. 853 |
Thyroid Diseases: Nontoxic Diffuse and Multinodular Goiter | |
Pathogenesis of Nontoxic Diffuse and Nodular Goiter | p. 861 |
Clinical Manifestations and Treatment of Nontoxic Diffuse and Nodular Goiter | p. 866 |
Thyroid Diseases: Tumors | |
Carcinoma of Follicular Epithelium | |
Pathogenesis | p. 875 |
Molecular Genetics of Tumors of Thyroid Follicular Cells | p. 886 |
Surgical Therapy | p. 898 |
Radioiodine and Other Treatment and Outcomes | p. 904 |
Medullary Thyroid Carcinoma | p. 930 |
Miscellaneous Tumors of the Thyroid | p. 944 |
Clinical Evaluation of Solitary Thyroid Nodules | p. 949 |
The Thyroid in Infancy and Childhood | |
Thyroid Physiology in the Perinatal Period and During Childhood | p. 959 |
Hypothyroidism in Infants and Children Neonatal Screening | p. 973 |
Congenital Hypothyroidism | p. 977 |
Acquired Hypothyroidism in Infants, Children, and Adolescents | p. 983 |
Graves' Disease in the Neonatal Period and Childhood | p. 989 |
Special Topics in Thyroidology | |
Subclinical Hypothyroidism | p. 1001 |
Subclinical Thyrotoxicosis | p. 1007 |
Thyroid Disease During Pregnancy | p. 1013 |
Resistance to Thyroid Hormone | p. 1028 |
Infectious Thyroiditis | p. 1044 |
Subject Index | p. 1051 |
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