The hypothalamo-pituitary-gonadal axis in uremic patients receiving hemodialysis in childhood

Eight uremic patients (aged 16-21) reseiving hemodialysis in childhood, were studied on the hypothelamo-pituitary gonadal axis.1. The gonadal dysfunction was implicated by the findings of low serum testosterone, high luteinizing hormone (LH) levels, hyporesponsiveness in human chorionic gonadotropin...

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Veröffentlicht in:Nihon Jinzo Gakkai shi 1985, Vol.27(10), pp.1445-1449
Hauptverfasser: FUJISAWA, TAKUJI, KINOSHITA, SHOHEI, TANAKA, EIICHIROU, OOBU, KEIZOU, ITO, YUHEI, YOSHIMOTO, MASANAGA, SHINDO, SHIZUO, YAMASHITA, FUMIO
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container_end_page 1449
container_issue 10
container_start_page 1445
container_title Nihon Jinzo Gakkai shi
container_volume 27
creator FUJISAWA, TAKUJI
KINOSHITA, SHOHEI
TANAKA, EIICHIROU
OOBU, KEIZOU
ITO, YUHEI
YOSHIMOTO, MASANAGA
SHINDO, SHIZUO
YAMASHITA, FUMIO
description Eight uremic patients (aged 16-21) reseiving hemodialysis in childhood, were studied on the hypothelamo-pituitary gonadal axis.1. The gonadal dysfunction was implicated by the findings of low serum testosterone, high luteinizing hormone (LH) levels, hyporesponsiveness in human chorionic gonadotropin (HCG) test.2. Delayed and prolonged response in LH-RH test suggested the decrease in metabolic clearance rate (MCR) of LH.3. The findings of two cases whose testosterone levels were low and LH levels were high, suggested the hypothalamic dysfunction.4. Pituitary function was normal.5. The mean value of serum LH in the female was higher that that in the male patients. The underlying mechanism is unknown.6. All patients had the clinical evidence of puberty in spite of the hormonal dysfunction in the hypothalamo'pituitary-gonadal axis.
doi_str_mv 10.14842/jpnjnephrol1959.27.1445
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese
subjects Adolescent
Adult
Children
Chronic reral failure
Female
Gonads - physiopathology
Humans
Hypothalamo-Hypophyseal System - physiopathology
hypothalamo-pituiatry-gonadal axis
Kidney Failure, Chronic - physiopathology
Luteinizing Hormone - blood
Male
Renal Dialysis
Testosterone - blood
Time Factors
Uremia - physiopathology
title The hypothalamo-pituitary-gonadal axis in uremic patients receiving hemodialysis in childhood
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