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Biomedical subjects
Publications and source records attributed to W Kaiser.
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Sometimes the Sheehan-syndrome appears in form of a partial insufficiency and sometimes also with atypical symptomatology. From this result diagnostic and therapeutic consequences, the peculiarities of which are exhibited. The acute form of the course is dangerous. It makes necessary the use of a specific emergency treatment, whereby the result of the highly threatening condition depends on its consequent application. When a competent therapy is carried out the life expectancy of female patients suffering from the Sheehan-syndrome is no more to be regarded as reduced.
Age-specific criteria must be taken into consideration in the treatment of hormonal dysregulations during senescence and senium. A general transmission of the endocrine conditions of younger periods of life to the senium is not possible and induces the possibilities of complications which are demonstrated at the example of the thyroidal and parathyroidal metabolism. The course of endocrine crises is the severer the older the patients concerned are. Dealing with the pathophysiological findings, the author demonstrates and explains therapeutic standards according to own experiences.
The author adopts a definite attitude to problems of the influence of the activated thyroid gland on the calcium metabolism and on the parathyroidal adaptivity. Own clinical findings plead for indirect thyro-parathyroidal correlations. On certain conditions hyperthroidism induces a hypercalcuria leading to functional hyperparathyroidism. The possible clinical sequelae are discussed, taking especially into consideration the simultaneous hyperparathyroidism. The hyperthyroid hypercalcaemia may be a concomitant phenomenon, but may also indicate a coincident and adenomatous hyperparathyroidism. This recognition contains important diagnostic and therapeutic consequences, which are demonstrated in detail.
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