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Biomedical subjects

J Corvilain

Publications and source records attributed to J Corvilain.

At least 73 records · Page 4Linked to original sources
PubMed1978

Parathyroid hormone and calcium blood levels in acute renal failure. With special reference to one patient developing transient hypercalcemia.

Parathyroid hormone (PTH), creatinine, calcium and phosphate blood levels were repeatedly measured in 5 patients with acute renal failure. 1 patient developed hypercalcemia during the recovery phase of the illness. PTH was elevated in all cases before starting hemodialysis treatment and returned to normal when renal function recovered. Calcium and PTH were inversely correlated in 3 patients including the patient with transient hypercalcemia. These data show that parathyroid function in acute renal failure is closely related to changes in renal function and the hypercalcemia, when occurring, is not necessarily due to parathyroid hyperactivity.

Acute Kidney Injury↗
PubMed1978

The use of a test for the differential diagnosis of hypercalciuria.

28 renal stone formers (18 men and 10 women) with idiopathic hypercalciuria (IH) and 27 controls have been subjected to a test proposed for the diagnosis of absorptive, resorptive and renal hypercalciurias. Fasting serum calcium concentration, urinary calcium and cyclic AMP excretion were measured after overnight fasting and an oral load of calcium. Absorptive hypercalciuria was demonstrated in 14 patients. High fasting urinary calcium first suggested resorptive or renal hypercalciurias in 5 other patients, but since fasting urinary calcium was normalized following cellulose phosphate therapy, absorptive hypercalciuria was more likely. Renal hypercalciuria was a possibility in 1 single case. Both fasting and post-load urinary calcium were normal in 7 men and 1 woman. The test did not appear as useful as expected since it was of no diagnostic value in about 30% of the cases and erroneously suggested resorptive or renal hypercalciuria in about 15% of the cases. On the other hand it indicated that absorptive IH is common and renal IH exceptional.

Adult↗
PubMed1977

Metabolism of human PTH by the kidney and the liver.

Immunoreactive PTH was measured by amino terminal and carboxyl terminal specific assays in the femoral artery, the right renal vein and the suprahepatic vein of ten hyperparathyroid patients. A marked arterio venous difference for amino terminal immunoreactivity was observed in the kidney and the liver. In contrast, the arterio venous difference for carboxyl terminal immunoreactivity was small in the kidney and not significantly in the liver. It is concluded that intact PTH and possibly amino terminal fragments of the hormone are metabolized by the kidney and the liver. Considering the fact that a carboxyl terminal specific antiserum is also capable of recognizing intact hormone, the finding of a small positive arterio venous difference for carboxyl terminal immunoreactivity does not permit us to exclude the possibility that the kidney and/or the liver are capable of generating carboxyl terminal fragments.

Adenoma↗
PubMed1976

Comparative study of plasma cortisol evolution in TRH or placebo injected patients with or without thyroid disease.

The plasma cortisol evolution under TRH has been compared in 27 euthyroid, 12 hyperthyroid and 5 patients with hot nodules and in 15 control individuals receiving a placebo or sham injection. The results showed no statistical difference in plasma cortisol evolution between the groups, suggesting no influence of the thyroid status or TSH secretion on the spontaneous fall of cortisol level during the time of the test.

Clinical Trials as Topic↗
PubMed1976

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↗
PubMed1976

[Pseudohypothyroidism. Complementary results apropos of 4 familial cases].

In a sibship, 4 out of 5 children featured pseudo-hypoparathyroidism. The following points were verified: hypocalcaemia; increase of the serum level of PTH; normal response of bone and gut effectors to endegenous PTH; contrast between normal bone X-rays and lesions detected by histological studies.

Adolescent↗
PubMed1976

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↗
PubMed1975

[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↗
PubMed1975

Benign thyroid nodule with normal iodide trap and defective organification.

Cold thyroid nodules are generally due to impaired iodide uptake, while organification remains normal. In a case of a nodule appearing hot one hour after Tc99 m and cold 24 h after 131I-iodide, in vivo investigations showed that the trapping function was unimpaired and that the defect lay in organification. An early thyroid scan taken with 131I-iodide showed definite radioactivity in the nodule which was dischargeable by K perchlorate. This finding was confirmed by in vitro study of the tissue. Indirect evidence suggests that a defect was present in the H2O2 generating system rather than in peroxidase.

Adult↗