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ENCYCLOPEDIA OF
ENDOCRINE DISEASES
SECOND EDITION
EDITORS IN CHIEF
Ilpo Huhtaniemi
Imperial College London
London, United Kingdom
Luciano Martini
University of Milan
Milan, Italy
VOLUME 1
GENERAL PRINCIPLES, DIABETES, METABOLISM, OBESITY, GASTROINTESTINAL
HORMONES, AGING, ENDOCRINE TOXICOLOGY
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including
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the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted
herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in
research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers may always rely on their own experience and knowledge in evaluating and using any information, methods,
compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the
safety of others, including parties for whom they have a professional responsibility.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or
damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods,
products, instructions, or ideas contained in the material herein.
ISBN 978-0-12-812199-3
Ilpo Huhtaniemi
Editor in Chief
Encyclopedia of Endocrine Diseases, 2nd edition
v
EDITORS IN CHIEF
Ilpo Huhtaniemi received his MD and PhD at University of Helsinki, Finland, did postdoctoral
training in United States (UC San Francisco and NIH, Bethesda), and has been on sabbatical
leave in Germany, United States and Scotland. In 1986–2002 he held the post of Professor and
Chairman of Physiology at University of Turku, Finland. He moved in 2002 to UK to a Chair in
Reproductive Endocrinology at Imperial College London, from which position he retired in
2015. He has received several national and international honors, amongst them a fellowship of
The Academy of Medical Sciences, United Kingdom, and a Doctor Honoris Causa at the
Medical University Łódź, Poland, and University of Szeged, Hungary. He was the Chief
Managing Editor of Molecular and Cellular Endocrinology 1999-2017, has served in the Editorial
Board of Endocrinology and Endocrine Reviews and is/has been the Editor or Editorial Board
Member of several other scientific journals (e.g., European Journal of Endocrinology, Clinical
Endocrinology, Human Reproduction Update, Journal of Endocrinology, Molecular Human Reproduc-
tion, Reproduction, Asian Journal of Andrology). He has extensive experience as Official of inter-
national scientific organizations (e.g., Past President of International Society of Andrology).
His research interests include clinical and basic reproductive endocrinology, in particular the function of gonadotrophins and male
reproductive endocrinology. He also has long-term interests in development of male contraception, hormone-dependent cancer,
and the endocrinology of aging. He has authored about 700 peer-reviewed research articles and reviews, and his H-factor is 78.
Luciano Martini was born on May 14, 1927, in Milan, Italy. He obtained the degree of Medical
Doctor "summa cum laude" on November 24, 1950, from the Faculty of Medicine of the
University of Milan, Italy. He was Emeritus Professor of Pharmacology of the University of
Perugia, Italy, and Emeritus Professor of Endocrinology of the University of Milan, Italy. He
was Doctor Honoris Causa in Medicine of the Universities of Liège, Belgium, Santiago de
Compostela, Spain, and Pécs, Hungary, and Doctor Honoris Causa in Biotechnological Sci-
ences of the University of Milan, Italy. He was an author of more than 400 peer-reviewed
scientific publications in the fields of endocrinology, neuroendocrinology, pharmacology,
physiology of reproduction, steroid biochemistry, and basic oncology. He was elected member
of the Accademia Nazionale dei Lincei (Italian National Academy) and of the American
Academy of Arts and Sciences (Honorary Foreign Member).
Luciano Martini acted as Editor in Chief of the journal Frontiers in Neuroendocrinology from
1990 to 2001, and was a Member of the Editorial Board of Endocrinology (Foreign Consulting
Editor, 1961–65), as well as of several other speciality journals, such as Experimental and
Clinical Endocrinology, Biochemistry, and Steroids. He has acted as Editor of several textbooks
(e.g., Neuroendocrinology, a textbook in 2 volumes, Academic Press, New York, 1966–67, and Clinical Neuroendocrinology, a textbook
in 2 volumes, Academic Press, New York, 1977–82) as well of a series of books under the name Comprehensive Endocrinology
(13 volumes), Raven Press, New York, 1979–84. He acted as Editor in Chief for the first edition of Encyclopedia of Endocrine Diseases
(4 volumes), Academic Press-Elsevier, San Diego, 2004.
vii
EDITORIAL BOARD
Gregory Kaltsas
National and Kapodistrian University of Athens, Athens,
Greece
ix
SECTION EDITORS
Professor Jean-Jacques Body has been trained as an endocrinologist and a medical oncologist.
He was Head of the Department of Medicine at University Hospital Brugmann in Brussels and
Full Professor of Medicine (Internal Medicine) at the Free University of Brussels, (ULB),
Brussels, Belgium. He was previously Head of the Internal Medicine Clinic at Institute J. Bordet
(Cancer Center of ULB). He has also developed the “Supportive Care Dept” at the same
Institute. His particular research interests are osteoporosis and bone metastases. He has a long-
standing interest for bone metabolism and turnover in osteoporosis and tumor bone diseases.
He has authored or co-authored more than 250 international peer-reviewed papers and he
counts more than 200 invited lectures for international meetings.
Dr. Jean-Louis Chiasson is currently Full Professor of Medicine at the University of Montreal.
He is Head of the Research Group on Diabetes and Metabolic Regulation at the Research
Center of the Centre hospitalier de l’Université de Montréal (CRCHUM).
Dr. Chiasson obtained his MD at Laval University in Quebec City in 1967. He did his specialty
training in Internal Medicine at Laval Univesity and in Endocrinology at McGill University. He
then did a research Fellowship in Diabetes at Vanderbilt University in Nashville, Tennessee. In
1974–76 and 1978–80, he was appointed Assistant Professor in the Department of Medicine
and Physiology respectively at Vanderbilt University. In 1980, he returned to Montreal as
Assistant Professor in the Department of Medicine at the University of Montreal and as
Endocrinologist at Hotel-Dieu Hospital, now merged into the Centre hospitalier de l’Université
de Montréal.
Dr. Chiasson’s research interests include the regulation of carbohydrate metabolism in health
and diabetes, as well as the development and evaluation of new strategies for the treatment and
prevention of diabetes and its vascular complications. He has contributed over 250 scientific
publications and lectures nationally and internationally on various topics on diabetes mellitus,
its pathogenesis, its treatment, and its prevention. His scientific contribution puts him in the
prestigious club of the 100 most cited publications in the world in the field of diabetes.
xi
xii Section Editors
Sophie Christin-Maitre received her MD at University of Paris XI and her PhD at University
Paris VI, Pierre and Marie Curie, France. She did a postdoctoral training in United States
(Massachusetts General Hospital, Harvard University, Boston); she specialized in reproductive
medicine. She holds the post of Professor of Endocrinology at University of Sorbonne, Paris,
France. She has been the head of the Adult Endocrine Unit, in Hôpital Saint-Antoine, Assis-
tance-Publique Hôpitaux de Paris, since 2011. She is a member of the INSERM research unit
UMR S_933, specialized in identifying new genes in reproductive disorders. Her interests
include clinical and basic reproductive endocrinology, in particular the management of
patients with Turner syndrome, patients with primary ovarian insufficiency, patients with
hypogonadisms, and patients with abnormalities of sex development. She has authored
approximately 150 peer-reviewed research articles and reviews.
Wouter W. de Herder M.D. Ph.D. (1960) is Professor of Endocrine Oncology at the Erasmus
MC in Rotterdam, the Netherlands. In this University Hospital he is chairman of a multi-
disciplinary group for endocrine oncology (tumorwerkgroep endocriene tumoren) and he is
head of the ENETS centre of excellence for neuroendocrine tumors. His major research interests
are neuroendocrine and endocrine tumors.
Professor de Herder received his M.D. in 1985 and his Ph.D. in 1990 from the Erasmus
University in Rotterdam, the Netherlands.
He is a member of several international and Dutch national societies, such as the Dutch Society
for Endocrinology (NVE), the Endocrine Society (USA), the European Society of Endocrinol-
ogy (ESE), European Neuroendocrine Tumor Society (ENETS) and the North American Neu-
roendocrine Tumor Society (NANETS). He served as a board member of the Dutch Society for
Endocrinology (NVE) (2009–14). He served as chairman (2006–08) and vice-chairman of
ENETS (2008–10) (European Neuroendocrine Tumour Society). He is member of the advisory
boards of ENETS and NANETS.
Professor de Herder has (co-)published over 400 peer-reviewed papers and book chapters and
is a reviewer for many international journals.
He is a member of the editorial boards of Neuroendocrinology; Endocrinology, Diabetes &
Metabolism Case Reports; Clinical Endocrinology, and Endocrine-Related Cancer.
Professor de Herder has given over 200 invited presentations at Dutch national and international meetings.
Section Editors xiii
Ieuan Hughes is currently Emeritus Professor of Pediatrics at the University of Cambridge and
Honorary Consultant Pediatrician at Cambridge University Hospitals NHS Foundation Trust
and Cambridge Biomedical Campus. He is the author of more than 300 papers and chapters
across the whole range of paediatric endocrinology. His particular expertise is in disorders of
sex development for which he coordinated the International Consensus on the approach to the
investigation and management of this broad topic. Research interests focus on steroid enzyme
deficiencies and molecular mechanisms of androgen action.
Professor Hughes has served on the editorial boards of several journals, including Clinical
Endocrinology, Journal of Clinical Endocrinology, and Metabolism and Archives of Disease in Child-
hood where he was also the Associate Editor. He is Past-Secretary and President of the European
Society for Pediatric Endocrinology and a recipient of the highest award of the Society, the
Andrea Prader Prize. Professor Hughes is a James Spence Medallist of the Royal College of
Pediatrics and Child Health for outstanding contributions to paediatric knowledge. He is a
Fellow of the Academy of Medical Sciences, a Council Member of the Learned Society of Wales
and a Trustee of two charities. The chapter on Disorders of Sex Development in Williams
Textbook of Endocrinology (now in its 14e) by Hughes and co-authors is considered to be a
definitive and up to date regular review of this topic, specific and key to pediatric endocrinology.
Dr. Gregory Kaltsas MD FRCP (Lon) is Professor in General Medicine and Endocrinology at
the National and Kapodistrian University of Athens, Greece. He was trained in General Med-
icine in Athens, Greece and London, UK, and in Endocrinology at the Middlesex and St
Bartholomew’s Hospital, London, UK. He developed a particular interest in neuroendocri-
nology (pituitary and neuroendocrine tumors) and adrenal physiology and diseases. Upon
returning to Greece he established a neuroendocrine network and he is currently running the
European Neuroendocrine Tumor Society (ENETS) Center of Excellence at Laiko Hospital in
Athens, Greece. He has served as a member of the advisory board of ENETS and of the
Executive Committee of the European Neuroendocrine Association (ENEA) and he has been
elected in the Executive Committee of the International Society of Endocrinology. He has
recently been elected as a representative of the European Society of Endocrinology in the ExCo
of the International Society of Endocrinology. He has published more than 300 original
papers, reviews, and chapters and serves on editorial boards and as associate editor in several
endocrine journals.
Jean-Marc Kaufman obtained his MD and PhD degrees at the Ghent University, Belgium. He
was a Senior Postdoctoral Research Fellow (1982–84) in reproductive physiology at the Uni-
versity of Texas Medical School at Houston. He is board certified in Endocrinology and in
Nuclear Medicine. In 1985 he joined the staff of the Ghent University Hospital; he headed the
department of Endocrinology from 2003 to 2014 and the Laboratory for Hormonology from
1995 to 2014. He was appointed in 1993 Professor of Medicine at the Ghent University (1993)
and is past Chair of the Department of Internal Medicine at the Ghent University (2010–14).
From October 1st 2014 he is Professor Emeritus at the Ghent University where he is pursuing clinical and research activities. Main
research interests are in the assessment, regulation, and action of sex steroids with focus on their role in health, disease, and aging in
men, and in osteoporosis in men. He is (co)author of over 300 publications in international peer-reviewed journals.
xiv Section Editors
Franco Mantero received his MD at the University of Padua, Italy, did postdoctoral training in
Switzerland (Clinique Medicale Therapeutique, Hopital Cantonal, University of Geneva) and
in United States (University of California, San Francisco), and has been on sabbatical leave in
United Kingdom, United States, and France. He held a post of Associate Professor in Medicine
at the Institute of Semeiotica Medica, University of Padua (1981–86). In 1986 he moved to the
University of Catania to the Chair of Andrology and Endocrinology, in 1992 to the University
of Ancona, and in 2000 to the University of Padua to the Chair of Endocrinology and Chief of
the Endocrinology Unit of the Department of Medicine. He has received national and inter-
national honors, including a Doctor Honoris Causa at the Semmelweis University, Budapest,
Hungary.
He has been Editorial Board Member of several scientific journals (e.g., Clinical Endocrinology,
Endocrinology, Journal of Hypertension, Journal of Endocrinology Investigation Steroids)
He has served as Member of the Council of several international scientific societies (including International Society of Endocri-
nology, International Aldosterone Conference, Journee Klotz d’Endocrinologie Clinique, ENS@T) and one of the founders of the
European Network for the Study of Adrenal Tumors. His research interests include clinical and basic endocrinology of the adrenal
gland and endocrinology of hypertension, in particular pathophysiology of mineralocorticoids and primary aldosteronism. He has
authored approximately 500 peer–reviewed articles and edited several books and proceedings.
Jorma Toppari, MD, PhD, is Professor of Physiology at the University of Turku and Chief
Physician of Pediatric Endocrinology at Turku University Hospital, Turku, Finland. He is also
Adjunct Professor in the Department of Growth and Reproduction at the University of
Copenhagen, Denmark. He has served as chief editor of International Journal of Andrology
(2001–09), and has been on editorial boards of several endocrinological journals, including
currently Endocrinology and Journal of Clinical Endocrinology and Metabolism. He is the past
President of the European Academy of Andrology. He has made numerous contributions to the
studies on endocrine disruption in the past 20 years. He has published approximately 400
articles on endocrinology.
Section Editors xv
Christina Wang, MD is Professor of Medicine, Assistant Dean at the David Geffen School of
Medicine at UCLA, and Associate Director for Clinical and Translational Science Institute and a
faculty member of the Division of Endocrinology, Department of Medicine, Harbor-UCLA
Medical Center and Los Angeles Biomedical Research Institute, Torrance, California.
Dr. Wang has been involved in many funded basic and clinical research studies. Her current
clinical research studies include androgen replacement therapy, hormonal male contraceptive
development, late onset hypogonadism, accurate assessment of serum androgens, and diet and
androgen metabolism. Her basic research studies focus on the regulation of spermatogenesis
and mitochondrial derived peptides in spermatogenesis.
She has authored over 300 peer-reviewed publications, 67 chapters and reviews mainly on
male reproductive biology including characterization of the pharmacokinetics and efficacy of
androgens in men, trials of hormonal male contraceptive, regulation of germ cell apoptosis,
and reproductive aging. Dr. Wang served on the Executive Council, several committees and was the President of the American
Society of Andrology (2006–07). She also served the International Society of Andrology as Secretary (2001–05) and Chair of the
Program Organizing Committee (2005–09). She was President of the International Society of Andrology (2009–13). She is a
member of the Research Group on Methods for the Regulation of Male Fertility of the World Health Organization since 1984 and
Chairperson (1991–2002).
She has mentored many physician and scientist and is an advocate of young investigators. Dr. Wang has been invited speaker and
distinguished lecturer at many national and international endocrinology, reproductive endocrinology, and andrology conferences.
LIST OF CONTRIBUTORS
xvii
xviii List of Contributors
STRAPPED TO A STICK.
At the beginning of the war many generals were very fearful lest
some of the acts of the common soldier should give offence to the
Southern people. This encouraged the latter to report every chicken
lost, every bee-hive borrowed, every rail burnt, to headquarters, and
subordinates were required to institute the most thorough search for
evidence that should lead to the detection and punishment of the
culprits, besides requiring them to make full restitution of the value of
the property taken. Our government and its leading officers, military
and civil, seemed at that time to stand hat in hand apologizing to the
South for invading its sacred territory, and almost appearing to want
only a proper pretext to retire honorably from the conflict. But by the
time that the Peninsular Campaign was brought to a close this kid-
glove handling of the enemy had come to an end, and the wandering
shote, the hen-roosts, the Virginia fence and the straw stack came to
be regarded in a sense as perquisites of the Union army.
Punishments for appropriating them after this time were much rarer,
and the difficulty of finding the culprits increased, as the officers were
becoming judiciously near-sighted.
When the slow and solemn round had been completed, the
prisoner was seated on an end of his coffin, which had been placed
in the centre of the open end of the rectangle, near his grave. The
chaplain then made a prayer, and addressed a few words to the
condemned man, which were not audible to any one else, and
followed them by another brief prayer. The provost-marshal next
advanced, bound the prisoner’s eyes with a handkerchief, and read
the general order for the execution. He then gave the signal for the
shooting party to execute their orders. They did so, and a soul
passed into eternity. Throwing his arms convulsively into the air, he
fell back upon his coffin but made no further movement, and a
surgeon who stood near, upon examination, found life to be extinct.
The division was then marched past the corpse, off the field, and the
sad scene was ended.
DEATH OF A DESERTER.
A CANTEEN WASH.
A common mode of washing was for one man to pour water from a
canteen into the hands of his messmate, and thus take turns; but this
method was practised most on the march. In settled camp, some
men had a short log scooped out for a wash-basin. Some were not
so particular about being washed every day, and in the morning
would put the time required for the toilet into another “turn over” and
nap. As such men always slept with their full uniform on, they were
equivalent to a kind of Minute Men, ready to take the field for roll-call,
or any other call, at a minute’s notice.
As soon as the Assembly sounded, the sight presented was quite
an interesting one. The men could be seen emerging from their tents
or huts, their toilet in various stages of completion. Here was a man
with one boot on, and the other in his hand; here, one with his
clothes buttoned in skips and blouse in hand, which he was putting
on as he went to the line; here was one with a blouse on; there, one
with his jacket or overcoat (unless uniformity of dress on line was
required—it was not always at the morning roll-calls, and in some
companies never, only on inspections). Here and there was a man
just about half awake, having a fist at each eye, and looking as
disconsolate and forsaken as men usually do when they get from the
bed before the public at short notice.
FALL IN FOR ROLL-CALL.