{"id":444,"date":"2024-08-13T20:06:49","date_gmt":"2024-08-13T20:06:49","guid":{"rendered":"http:\/\/rheumatologie-am-hochkreuz.de\/20-2\/?page_id=444"},"modified":"2025-05-09T20:57:37","modified_gmt":"2025-05-09T20:57:37","slug":"die-endokrinologie","status":"publish","type":"page","link":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/die-endokrinologie\/","title":{"rendered":"Endocrinology"},"content":{"rendered":"
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Endocrinology<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Care begins with assessing the concerns and needs of each individual, with communication of information that increases understanding of the disease process, allays anxiety, and enhances coping skills.\u00a0
<\/b>Treatment plans are individualized and are designed to maximize safety, address the most troubling symptoms, anticipate and minimize future problems, and reflect up-to-date knowledge.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Patients contact the clinic or are referred by specialists for conditions including the following:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
Thyroid diseases<\/strong><\/h5>
  • Thyroid goiter<\/li>
  • Thyroid nodules, thyroid cysts, thyroid carcinoma<\/li>
  • Hyperthyroidism (Graves' disease, single or multiple autonomies (hot or cold nodules)<\/li>
  • Hypothyroidism (e.g. as a result of autoimmune diseases, often after thyroiditis, thyroid inflammation) Parathyroid diseases associated with too much or too little calcium in the blood in hypoparathyroidism or hyperparathyroidism<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
    \n\t\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t\t\t
    Diseases of the adrenal glands<\/strong><\/h5>
    • Cushing-Syndrom = Hypersecretion of cortisone or drug induced with symptoms of overweight, striae and sometimes infections<\/li>
    • Hyperaldosteronisms: Conn Syndrom = Hypersecretion of aldosterone with Hypopotassianemia<\/li>
    • Adrenal tumours without hormone activity<\/li>
    • Morbus Addison: Lack of cortisone and other adrenal hormones with feelings \nof weakness dehydration, hypotension, or shock out of proportion to severity of current illness, Unexplained hypoglycaemia, Hyponatremia, hyperkalemia, azotemia, hypercalcemia, or eosinophilia, Hyperpigmentation or vitiligo<\/li>
    • Adrenogenital syndrome = masculinisation of primary and secondary sexual characteristics in women<\/li>
    • Pheochromozytoma = Excess of adrenaline with hypertension, arterial hypertension hormonally conditioned<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
      \n\t\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t\t\t\t\t\t\t
      Dysfunction of the pituitary<\/strong><\/h5>
      • Acromegaly = Gigantism\nPrognathism, Arthralgias and arthritis, Carpal tunnel syndrome, Acroparesthesia Hypertrophy of frontal bones\nMenstrual abnormalities, Galactorrhea, Decreased libido, impotence, low levels of sex hormone-binding globulin. Multiple endocrine neoplasia type 1, Hyperparathyroidism, Pancreatic islet-cell tumors<\/li>
      • Cushing-Syndrom (excess of cortisol) = Centripetal obesity, Facial plethora\nGlucose intolerance, Weakness, proximal myopathy, Hypertension, Psychological changes Easy bruisability, Hirsutism, Oligomenorrhea or amenorrhea, Impotence, Acne, oily skin, Abdominal striae, Ankle edema<\/li>
      • Prolactinoma = Hyperprolactinemia in premenopausal women causes hypogonadism, manifested by infertility, oligomenorrhea, or amenorrhea and less often by galactorrhea<\/li>
      • Hormone-inactive tumours<\/li>
      • Panhypopituitarisms = Lack of pituitarian hormones<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t
        Diabetes mellitus = Hyperglycemia often accompanied with hyperlipidemia \n(metabolic syndrom)<\/strong><\/h5>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t

        Hyperlipidaemia and metabolic syndrome
        <\/strong>World Health Organization - A World Health Organization (WHO) diabetes group proposed a set of criteria for the metabolic syndrome in 1998 with the recognition that these criteria could be modified as more was learned about the syndrome.\n\nInsulin resistance, impaired glucose tolerance, or diabetes were included in this definition, which follows:\n\n- Hyperinsulinemia or a fasting plasma glucose (FPG) 110 mg\/dL (6.1 mmol\/L) or a plasma glucose two hours after an oral glucose tolerance test 200 mg\/dL (11.1 mmol\/L).\n\n- PLUS at least two of the following: Abdominal obesity, defined as a waist-to-hip ratio >0.90, a body mass index (BMI) 30 kg\/m2, or a waist girth 94 cm (37 in) (see \"Clinical evaluation of the overweight adult\", section on Determination of degree and type of overweight) Dyslipidemia, defined as serum triglyceride 150 mg\/dL (1.7 mmol\/L) or high-density lipoprotein HDL cholesterol <35 mg\/dL (0.9 mmol\/L) Blood pressure 140\/90 mmHg or the administration of antihypertensive drugs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t

        Investigation of an under- or oversupply of vitamins
        <\/strong>A common phenomenon, e.g. during the menopause<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t

        Hirsutisms\u00a0
        <\/strong>Hirsutism, defined as excessive male-pattern hair growth, affects between 5 and 10 per cent of women of reproductive age. It may be the initial, and possibly only, sign of an underlying androgen disorder, the cutaneous manifestations of which may also include acne and male-pattern balding (androgenic alopecia). Depending upon the body site, hormonal regulation plays an important role in the hair growth cycle. Race and ethnicity are important determinants of body hair distribution in women. Polycystic ovary syndrome is the most common cause of hirsutism.\n\nThe diagnosis of idiopathic hirsutism is given to women with hirsutism with normal serum androgen concentrations, no menstrual irregularity, and no identifiable cause of their hirsutism. Other causes include congenital adrenal hyperplasia, ovarian and adrenal androgen-secreting tumors, medications, and other rare disorders.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t

        Excess or lack of sexual hormones
        <\/strong>Women: After excluding pregnancy, the most common causes of secondary amenorrhea are: Ovarian disease - 40 percent Hypothalamic dysfunction - 35 percent Pituitary disease - 19 percent Uterine disease - 5 percent\n\nMen: When testosterone deficiency first occurs after puberty has been completed, symptoms may include a decrease in energy and libido, erektile dysfunktion, that occur within days to weeks. However, sexual hair, muscle mass, and bone mineral density do not fall to a readily detectable degree for several years. Men may also present with infertility. Some may present with hiperlipedemia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t

        Osteoporosis
        <\/strong>Reduced bone mass is the most common clinical skeletal disorder. An age-related decline in bone mass begins around age 35 years and accelerates in women after menopause. Early diagnosis and quantification of bone loss and fracture risk have become more important because of the availability of therapies that can slow or even reverse the progression of osteoporosis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

        \n\t\t\t\t
        \n\t\t\t\t\t\t\t\t\t

        Disorders of the sex hormone metabolism
        <\/strong>which can cause erectile dysfunction, cycle disorders, hirsutism or hair loss and poor performance as well as adynamia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

        \n\t\t\t\t\t
        \n\t\t
        \n\t\t\t\t<\/div>\n\t\t
        \n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

        Die Endokrinologie Die Endokrinologie\u00a0besch\u00e4ftigt sich im Wesentlichen mit folgenden Krankheiten:\u00a0Als Patient mit Stoffwechselerkrankungen oder hormonellen St\u00f6rungen werden Sie h\u00e4ufig schon\u00a0durch Ihren Hausarzt auf abweichende Laborwerte aufmerksam gemacht.\u00a0H\u00e4ufig gilt es dabei, unterschiedliche Stoffwechselerkrankungen voneinander abzugrenzen. M\u00f6gliche Krankheitsbilder Schilddr\u00fcsenerkrankungen Schilddr\u00fcsenvergr\u00f6\u00dferung (Struma oder Kropf) Schilddr\u00fcsenknoten, Schilddr\u00fcsenzysten, Schilddr\u00fcsenkarzinom Schilddr\u00fcsen\u00fcberfunktion (Morbus Basedow, einzelne oder multiple Autonomie (hei\u00dfe oder kalte Knoten) Schilddr\u00fcsenunterfunktion (z.B. als Folge von Autoimmunerkrankungen, h\u00e4ufig nach Thyreoiditis, Schilddr\u00fcsenentz\u00fcndung) Nebenschilddr\u00fcsenerkrankungen die mit zu viel oder zu wenig Calcium im Blut bei Hypoparathyreoidismus oder Hyperparathyreoidismus einhergehen Erkrankungen der Nebennieren Cushing-Syndrom = \u00dcberproduktion an Cortison (z.T. durch die Hypophyse bedingt), dadurch bedingt \u00dcbergewicht oder medikament\u00f6s bedingt durch zu hohe Einnahme\u00a0von Cortison Hyperaldosteronismus bei Conn Syndrom = \u00dcberproduktion an Aldosteron\u00a0(dadurch bedingt Hochdruck) Tumoren der Nebennieren ohne Hormonaktivit\u00e4t Morbus Addison = Mangel an Nebennierenrindenhormonen mit Leistungsschw\u00e4che Adrenogenitales Syndrom = Verm\u00e4nnlichung der prim\u00e4ren und sekund\u00e4ren Geschlechtsmerkmale bei Frauen Ph\u00e4ochromozytom (m\u00f6gliche Ursache f\u00fcr Hochdruck) Erkrankungen der Hirnanhangsdr\u00fcse (Hypophyse) Akromegalie (\u00fcberm\u00e4\u00dfig gro\u00dfe (End-)Gliedma\u00dfen) und Riesenwuchs Cushing-Syndrom (z.T. durch die Nebennieren bedingt, \u00dcberproduktion an Cortison\u00a0mit der Folge von \u00dcbergewicht) Prolaktinome Hormoninaktive Tumoren Panhypopituitarismus (Ausfall der Hirnanhangsdr\u00fcse) oder Unterfunktionen\u00a0(zum Beispiel nach Operationen) Diabetes mellitus = Zuckerkrankheit Fettstoffwechselst\u00f6rungenmit Hypercholesterin\u00e4mie und Hypertriglizerid\u00e4mie h\u00e4ufig bei metabolischen Syndrom oder andere kardiovaskul\u00e4re Risikofaktoren Untersuchung einer Unter- oder \u00dcberversorgung mit VitaminenEin h\u00e4ufiges Ph\u00e4nomen z. B. w\u00e4hrend der Wechseljahre Hirsutismus (vermehrte Behaarung)\u00a0bei Frauen zum Beispiel bei Hyperinsulinismus und polyzystischen Ovar \u00dcberschuss oder Mangel an Sexualhormonen z.B. vermehrte Behaarung (Hirsutismus) oder Testosteronmangel, Verweiblichung, Virilismus Osteoporoseals h\u00e4ufige Knochenerkrankung z.B. in den Wechseljahren prim\u00e4r (ohne erkennbare zugrundeliegende Ursache) oder sekund\u00e4r im Gefolge einer Grundkrankheit oder als Folge einer medikament\u00f6sen Therapie St\u00f6rungen des Sexualhormonstoffwechselsdie eine erektile Dysfunktion, Zyklusst\u00f6rungen, Hirsutismus oder Haarausfallund Leistungsschw\u00e4che sowie Adynamie verursachen k\u00f6nnen<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-444","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/pages\/444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/comments?post=444"}],"version-history":[{"count":50,"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/pages\/444\/revisions"}],"predecessor-version":[{"id":1369,"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/pages\/444\/revisions\/1369"}],"wp:attachment":[{"href":"https:\/\/rheumatologie-am-hochkreuz.de\/en\/wp-json\/wp\/v2\/media?parent=444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}