Sperling Pediatric Endocrinology

Ambiguous Genitalia

Introduction Throughout history, humans have sought to understand the differences between biological sexes and the mechanisms responsible for these biological differences. Normal gonadal differentiation and sex development depend on the meticulous choreography and synchrony of a network of endocrine, paracrine,…

Fetal-Maternal Endocrinology and Parturition

Overview Pregnancy is a complex physiological state consisting of a symbiotic relationship between two genetically distinct, but related, individuals: the mother and the fetus. The success of pregnancy requires dramatic alterations of maternal physiology to accept, protect, house, and nurture…

Endocrinology Laboratory Testing

Introduction What makes one an effective user of the clinical laboratory? Such a user: Identifies at least one sympathetic ally in the clinical laboratory to whom one can reach out for advice about laboratory testing. None of us can be…

Receptor Transduction Pathways Mediating Hormone Action

Introduction Hormones exert their actions by binding to specific receptor proteins, a process that induces conformational changes or compartmental redistribution of these proteins. The activated receptor is now capable of inducing positive (or negative) intracellular effects that ultimately are recognized…

Overview and Principles of Pediatric Endocrinology

Historical background Endocrinology is a discipline of science that seeks to understand how chemical signals secreted by cells regulate the function of distant (endocrine) or local (paracrine) tissues, or even their own function (autocrine), to integrate vital processes of life,…