Endocrine System Disorders Douglas Wilkin, Ph.D. Jean Brainard, Ph.D. Say Thanks to the Authors Click http://www.ck12.org/saythanks (No sign in required) To access a customizable version of this book, as well as other interactive content, visit www.ck12.org CK-12 Foundation is a non-profit organization with a mission to reduce the cost of textbook materials for the K-12 market both in the U.S. and worldwide. Using an open-source, collaborative, and web-based compilation model, CK-12 pioneers and promotes the creation and distribution of high-quality, adaptive online textbooks that can be mixed, modified and printed (i.e., the FlexBook® textbooks). Copyright © 2015 CK-12 Foundation, www.ck12.org The names “CK-12” and “CK12” and associated logos and the terms “FlexBook®” and “FlexBook Platform®” (collectively “CK-12 Marks”) are trademarks and service marks of CK-12 Foundation and are protected by federal, state, and international laws. Any form of reproduction of this book in any format or medium, in whole or in sections must include the referral attribution link http://www.ck12.org/saythanks (placed in a visible location) in addition to the following terms. Except as otherwise noted, all CK-12 Content (including CK-12 Curriculum Material) is made available to Users in accordance with the Creative Commons Attribution-Non-Commercial 3.0 Unported (CC BY-NC 3.0) License (http://creativecommons.org/ licenses/by-nc/3.0/), as amended and updated by Creative Commons from time to time (the “CC License”), which is incorporated herein by this reference. Complete terms can be found at http://www.ck12.org/about/ terms-of-use. Printed: November 11, 2015 AUTHORS Douglas Wilkin, Ph.D. Jean Brainard, Ph.D. www.ck12.org C HAPTER Chapter 1. Endocrine System Disorders 1 Endocrine System Disorders • Identify general problems and diseases associated with the endocrine system. • Compare hypersecretion to hyposecretion. • Explain hormone resistance. How tall can a person become? This may be an exaggeration, but the world’s tallest person, Robert Pershing Wadlow, stood almost nine feet tall when he died at the age of 22. Is growing that tall due to a problem with the endocrine system? Endocrine System Disorders Diseases of the endocrine system are relatively common. An endocrine disease usually involves the secretion of too much or not enough hormone. When too much hormone is secreted, it is called hypersecretion. When not enough hormone is secreted, it is called hyposecretion. Hypersecretion Hypersecretion by an endocrine gland is often caused by a tumor. For example, a tumor of the pituitary gland can cause hypersecretion of growth hormone. If this occurs in childhood, it results in very long arms and legs and abnormally tall stature by adulthood. The condition is commonly known as gigantism (see Figure 1.1). See Giants Part 1 - Pituitary Gigantism and Acromegaly at http://www.youtube.com/watch?v=Ebhf1qKVA9A for information about pituitary giants. 1 www.ck12.org FIGURE 1.1 Hypersecretion of growth hormone leads to abnormal growth, often called gigantism. Hyposecretion Destruction of hormone-secreting cells of a gland may result in not enough of a hormone being secreted. This occurs in type 1 diabetes. In this case, the body’s own immune system attacks and destroys cells of the pancreas that secrete insulin, making type 1 diabetes an autoimmune disease. A person with type 1 diabetes must frequently monitor the level of glucose in the blood (see Figure 1.2). If the level of blood glucose is too high, insulin is injected to bring it under control. If it is too low, a small amount of sugar is consumed. FIGURE 1.2 To measure the level of glucose in the blood, a drop of blood is placed on a test strip, which is read by a meter. 2 www.ck12.org Chapter 1. Endocrine System Disorders Hormone Resistance In some cases, an endocrine gland secretes a normal amount of hormone, but target cells do not respond to the hormone. Often, this is because target cells have become resistant to the hormone. Type 2 diabetes is an example of this type of endocrine disorder. In type 2 diabetes, body cells do not respond to normal amounts of insulin. As a result, cells do not take up glucose and the amount of glucose in the blood becomes too high. This type of diabetes is usually treated with medication and diet. The addition of extra insulin to the treatment can help some patients. Summary • Endocrine system disorders usually involve the secretion of too much or not enough hormone. For example, a tumor of the adrenal gland may lead to excessive secretion of growth hormone, which causes gigantism. • In Type 1 diabetes, the pancreas does not secrete enough insulin, which causes high levels of glucose in the blood. Explore More Use this resource to answer the questions that follow. • Diseases and Conditions at http://www.hormone.org/diseases-and-conditions . 1. Describe the following endocrine disorders: a. b. c. d. diabetes growth hormone deficiency osteoporosis Polycystic Ovary Syndrome Review 1. Define hypersecretion. Give an example of an endocrine disorder that involves hypersecretion. 2. Explain why a person with type 2 diabetes is not affected by normal amounts of insulin. Will providing extra insulin help this person? References 1. . Extremely tall individual . Public Domain 2. Rupali Raju. Measuring blood glucose level . CC BY-NC 3.0 3
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