Page 269 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
P. 269

A.  Abnormalities of Simple Endocrinal Regulatory Circuit

                          Glucose                    Glucose
         Glycolysis
         etc.         Negative
                      feedback
               Liver                                   Hyperglycemia
           Insulin                            Beta-cell
                                      Insulin  insufficiency           Circuit
        1              Pancreas
        Normal regulation               3
                                      Defect in hormonal gland
                          Glucose                                      Endocrinal Regulatory
                        Amino                            Glucose
                        acids
                 Enzyme
                 defect     Hypoglycemia      Liver      Hyperglycemia
                                              insufficiency
            Insulin
                                           Insulin
          2                                                            Plate 9.2
          Increased secretion in the     4
          intertwined regulatory circuit  Target organ defective
        B.  Abnormalities of Hypothalamus-Regulated Hormones
           Hypothalamus
        1
                 Liberin                    CRH
                 (CRH)
        Pituitary
        gland
            Tropin  Effect             ACTH    Effect
            (ACTH)                     primarily
                                       raised
                                          3
                     Hormone
                     (cortisol)                Cortisol
        Adrenal              CRH                         CRH
        cortex               primarily
                             raised
        Normal regulation
                              2
                                                    ACTH    Effect
                        ACTH     Effect
                                                     4
                                Cortisol             Cortisol  Cortisol
                                                     primarily
                                                     raised
                                                                      259

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
   264   265   266   267   268   269   270   271   272   273   274