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Biomedical subjects

H Brauman

Publications and source records attributed to H Brauman.

At least 55 records · Page 3Linked to original sources

Parathyroid hormone plasma level in untreated chronic renal failure and in hemodialyzed patients.

In 42 untreated patients at various stages of chronic renal failure, plasma level of parathyroid hormone was directly proportional to the degree of renal failure and inversely proportional to the serum calcium level. Plasma parathyroid hormone levels were frequently elevated in 21 patients undergoing regular dialysis treatment, in spite of normal levels of serum total calcium and magnesium. Serum-ionized calcium levels measured in dialyzed patients were usually reduced and inversely correlated with the creatinine levels. Parathyroid hormone levels were correlated with the creatinine levels, but the inverse relationship with ionized calcium was not significant.

Adult↗

Delayed adjustment of the pituitary response to variations in circulating thyroid hormones in a case of subacute thyroiditis.

In a case of subacute de Quervain thyroiditis characterized by a period of pronounced hypermetabolism followed by hypometabolism, levels of T4, T3 and the TSH response to TRH were repeatedly measured. As expected, the response to TRH was absent or low during the hypermetabolic phase, high during the hypometabolic phase and returned to normal with recovery. However, at the beginning and at the end of the hypometabolic phase, while circulating levels of T3 and T4 both lay in the subnormal range, two periods of inadequate response to TRH could be demonstrated. During the first period, the response to TRH was zero or very small; during the second period, stimulation by TRH was exaggerated. The response to TRH thus depends not only on the level of circulating thyroid hormones but on other factors such as the previous state of pituitary stimulation or inhibition.

Female↗

The growth hormone response to insulin induced hypoglycaemia in anorexia nervosa and control underweight or normal subjects.

Hypoglycaemic stimulation of growth hormone (GH) secretion has been measured in 12 anorexia nervosa patients, 11 adolescents approximately matched for weight and age, 14 underweight adults with no history of anorexia nervosa and 27 normal patients. The results showed a high proportion of blunted growth hormone responses among the anorexia nervosa patients as compared to normal subjects, underweight adolescents or adults. In the group of underweight adults, diminshed growth hormone responses were most frequently seen in patients with depressive illness. The complex pathogenesis of the diminshed growth hormone response in anorexia nervosa involves many factors; undernutrition itself, possible hypothalamic insufficiency related to the psychopathological background and other endocrine abnormalities like hypogonadism, relative hypercorticism and hypothyroidism. The interference of the nutritional, psychological and endocrine factors could not be dissociated in our investigation or from the review of the literature on this subject. It is suggested that hypothalamic insufficiency plays a prominent role in the growth hormone hyporesponsiveness in anorexia nervosa. Although diminished, the stimulated growth hormone response remains higher in anorexia nervosa than in true hypopituitarism. This phenomenon coupled to a preserved or even increased suprarenal function enables one to differentiate cachexia resulting from anorexia nervosa and hypopituitarism leading eventually to cachexia.

Adolescent↗

[Value of the test using TRH in the exploration of thyroid diseases].

The discovery and the synthesis of the thyrotropin-releasing hormone (T.R.H.) has given rise to a new test able to explore the function of the thyroid and the pituitary. Intravenous injection of T.R.H. determines a short elevation of T.S.H. in the plasma. In hyperthyroidism and in hot nodules the response is abolished. In hypothyroidism, the response depends on the localization of the lesion: exaggerated response in thyroid lesions, diminished or abolished response in pituitary problems, delayed response in hypothalamic lesions. This new test will definitely have an important diagnostic role in difficult clinical problems.

Adrenal Cortex Hormones↗