TY - CHAP M1 - Book, Section TI - Temperature Dysregulation A1 - Shenoi, Rohit P. A1 - Rubalcava, Daniel M. A2 - Kline, Mark W. Y1 - 2018 N1 - T2 - Rudolph's Pediatrics, 23e AB - Healthy humans are able to self-regulate their body temperature within a narrow range (37±0.4°C or 98.6±0.8°F), despite wide variations in ambient temperature. Temperature regulation is performed by the thermoregulatory center in the preoptic anterior hypothalamus, which integrates impulses transmitted by the peripheral warm and cold receptors of the skin and the central thermoreceptors located in the hypothalamus, spinal cord, viscera, and great veins. Normally, the body maintains a balance between the heat generated by the muscles and liver and the heat lost through the skin and lungs. During exercise, there may be as much as a 4-fold increase in heat production. In febrile states, homeostatic mechanisms such as vasoconstriction and shivering raise the body temperature by increasing heat production and decreasing heat dissipation until a new elevated set point is reached. When the illness abates, the set point returns to the original lower level. Lowering of the body temperature is heralded by the onset of sweating. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182927494 ER -