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Endokrinologie

  • Conference paper
Book cover Verhandlungen der Deutschen Gesellschaft für innere Medizin

Part of the book series: Verhandlungen der Deutschen Gesellschaft für innere Medizin ((VDGINNERE,volume 87))

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Zusammenfassung

Osteoporose ist ein wesentliches Merkmal des chronischen Hyperkortisolismus. Glukokortikoide hemmen die Mineralisation und fördern den Nettoausstrom von Kalzium aus dem Skelett durch direkte Wirkungen auf den Osteozyten [1, 2], aber der Einfluß der Glukokortikoide auf die Homöostase von Kalizium gilt als weitere Ursache für die Mineralsalzverarmung des Knochens. Chronischer Hyperkortisolismus steigert die renale Kalziumausscheidung, und Behandlung mit Glukokortikoiden in pharmakologischer Dosis kann eine Abnahme der Kaliziumabsorption aus dem Verdauungstrakt hervorrufen [3], die offenbar dosisabhängig ist: sie wurde bei Therapie mit niedrigen Erhaltungsdosen nicht beobachtet [4, 5]. Beim endogenen Cushing-Syndrom ergaben frühere Messungen und einzelne Untersuchungen der Kalziumbilanz ebenfalls, daß die Kalziumabsorption erniedrigt war [6, 7]; Sjöberg [8] beobachtete aber bei einer Untersuchung an neun Patienten mit endogenem Cushing-Syndrom, daß die Retention von Kalzium aus einer Testmahlzeit normal war.

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Authors and Affiliations

  1. Med. Klinik D, Deutschland

    H. Peerenboom

  2. Med. Klin. C, Deutschland

    E. Keck, H. K. Kley & H. L. Krüskemper

  3. Med. Klin. D, Univ. Düsseldorf, Deutschland

    G. Strohmeyer

  4. Abt. für Klin. Endokrinologie, II. Med. Klinik, Univ. Mainz, Deutschland

    J. Happ

  5. Univ.-Nervenklinik, Köln, Deutschland

    M. Philipp

  6. Abt. für Klin. Endokrinologie, H. Med. Klinik, Univ. Mainz, Deutschland

    U. Cordes & J. Beyer

  7. Univ.-Nervenklinik Köln, Deutschland

    M. Schäfer

  8. Patholog. Inst., Deutschland

    S. Störkel

  9. Inst. für Klin. Strahlenkunde, Nuklearmedizin, Deutschland

    K. Hahn

  10. Abt. für Endokrinologie, Zentrum der Inneren Medizin des Univ.-Klinikums Frankfurt, Deutschland

    E. Jungmann, P.-H Althoff, W. Magnet, F. Schulz, K. H. Usadel, K. Schöffling, C. Rosak & H. M. Brecht

  11. Abt. Innere Med. I, Deutschland

    H. L. Fehm & S. H. Pal

  12. Abt. Kinderheilkunde, Deutschland

    J. Homoki

  13. Abt. Radiologie, Deutschland

    W. Maier

  14. Abt. Chirurgie I, Deutschland

    C. Herfarth

  15. Abt. Innere Med. I, Univ. Ulm, Deutschland

    E. F. Pfeiffer, H. Etzrodt, W. Beischer, V. Maier & J. Rosenthal

  16. Med. Univ.-Klinik Marburg, Deutschland

    R. Grün & A. Scheuer

  17. Univ. Bonn, Deutschland

    K. Ehlenz

  18. Patholog. Inst. der Univ. Würzburg, Deutschland

    W. D. Heine

  19. Med. Klinik, Städt. Krankenanstalten Schweinfurt, Deutschland

    M. Grün

  20. Zentrum der Inneren Medizin, Univ. Frankfurt a. M, Deutschland

    F. Schulz, K. Schöffling & E. Schifferdecker

  21. Med. Univ.-Klinik C und Poliklinik, Düsseldorf, Deutschland

    F. A. Horster & D. Keltz

  22. Abt. für Endokrinologie, Med. Klinik und Poliklinik, Univ. Essen, Deutschland

    W. Raschke, H.-G. Hoff, R. Windeck & D. Reinwein

  23. Med. Univ.-Klinik Heidelberg und I. Med. Univ. Klinik Göteborg, Deutschland

    A. Wirth & P. Björntorp

  24. III. Med. Klinik und Poliklinik der Univ. Gießen, Deutschland

    H. Schatz, E. Mäser, J. Teuber, O. Schröder, K. Federlin & K. Helmke

  25. Abt. der Univ., Nuklearmed, Deutschland

    S. Grebe

  26. 3. Med. Klinik der Univ. Gießen, Deutschland

    K. Federlin

  27. Med. Klinik Innenstadt der Univ., Deutschland

    O. A. Müller

  28. Radiolog. Klinik der Univ., Deutschland

    B. Leisner

  29. Patholog. Inst. der Univ., Deutschland

    U. Löhrs

  30. Med. Klinik Innenstadt der Univ., München, Deutschland

    C. R. Pickardt

  31. Klinik für innere Medizin, Med. Hochschule Lübeck, Deutschland

    P. C. Scriba

  32. Universitätsklinik, Ulm, Deutschland

    E. F. Pfeiffer, U. Loos, R. Grau, F. Keck & L. Duntas

  33. Med. Univ.-Klinik, Deutschland

    H. Dirks & G. Hintze

  34. Abt., Med. Univ.-Klinik, Nuklearmed, Deutschland

    H. Schicha & D. Emrich

  35. Med. Univ.-Klinik, Göttingen, Deutschland

    F. Schulz, K. Schöffling, E. Schifferdecker & R. Bressel

  36. Zentrum der Inneren Medizin, Univ.-Kliniken Frankfurt, Deutschland

    G. Mayer, H. C. Blossey, J. Köbberling & H. H. Bartsch

  37. Med. Klinik, Univ.-Klinikum Essen, Deutschland

    R. Windeck, D. Reinwein, G. Benker, W. D. Zäh & L. Tharandt

  38. III. Med. Abt. des Akadem. Lehrkrankenhauses, München-Schwabing, Deutschland

    M. Wicklmayr & G. Dietze

  39. Chirurg. Klinik der Univ., Deutschland

    B. Günther

  40. Klin.-Chem.-Abt. der Univ., München, Deutschland

    R. Geiger

  41. III. Med. Abt. des Akadem. Lehrkrankenhauses, München-Schwabing, Deutschland

    H. Brunnbauer

  42. Chirurg. Klinik der Univ., München, Deutschland

    G. Heberer

  43. Lehrkrankenhauses München-Schwabing, III. Med. Abt. des Akadem., Deutschland

    H. Mehnert

  44. Innere Medizin I, Univ., Ulm, Deutschland

    E. F. Pfeiffer, W. D. Hetzei & C. H. Unckel

  45. Klinikum Großhadern, Univ. München, Medizinische Klinik 11, Deutschland

    K. Mann, R. Gilch, P. Haidl, T. Hellmann & H. J. Karl

  46. Med. Klinik Innenstadt der Univ. München, Deutschland

    W. Londong, V. Londong, R. Mühlbauer & A. König

  47. Dept. Innere Medizin, Abt. für Klinische Endokrinologie, Deutschland

    H.-C. Scholz

  48. Dept. Innere Medizin, Abt. für Klinische Nephrologie, Deutschland

    H. Liebau

  49. Dept. Innere Medizin, Abt. für Klinische Endokrinologie der Med. Hochschule, Hannover, Deutschland

    R.-D. Hesch

  50. 2. Med. Klinik und Poliklinik der TU, München, Deutschland

    U. Schweigart, P. Bottermann & R. Ermler

  51. Abt. Klinische Endokrinologie, Med. Univ.-Klinik, Deutschland

    P. Burmeister

  52. Abt. Hämatologie und Onkologie, Med. Univ.-Klinik, Freiburg, Deutschland

    H. Neumann, H. Fabricius & R. Engelhardt

  53. Krankenhaus Köln-Merheim, Med. Klinik, Lehrst. Innere Medizin 11 und Lungenklinik, Deutschland

    B. Allolio, W. Winkelmann, H. Brosch, F. X. Hipp & B. Schröder

  54. Mit Unterstützung des Landesamtes für Forschung NRW, Deutschland

    W. Winkelmann

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K. Miehlke

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© 1981 Springer-Verlag Berlin Heidelberg

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Peerenboom, H. et al. (1981). Endokrinologie. In: Miehlke, K. (eds) Verhandlungen der Deutschen Gesellschaft für innere Medizin. Verhandlungen der Deutschen Gesellschaft für innere Medizin, vol 87. J.F. Bergmann-Verlag, Munich. https://doi.org/10.1007/978-3-642-47092-9_11

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  • DOI: https://doi.org/10.1007/978-3-642-47092-9_11

  • Publisher Name: J.F. Bergmann-Verlag, Munich

  • Print ISBN: 978-3-8070-0327-6

  • Online ISBN: 978-3-642-47092-9

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