On the co-existence of granular disease of the kidneys with pulmonary consumption ; and on the influence of the strumous diathesis in predisposing to renal disease / by Thomas Bevil Peacock, M.D.

  • Thomas Bevill Peacock
Date:
[1845?]
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Licence: Public Domain Mark

Credit: On the co-existence of granular disease of the kidneys with pulmonary consumption ; and on the influence of the strumous diathesis in predisposing to renal disease / by Thomas Bevil Peacock, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    GRANULAR DISEASE OF THE KIDNEYS, &c. Dr Bright, in the notes to his Tabular Statement of the mor- bid appearances in 100 cases of Granular Disease of the Kidneys, occurring in connection with albuminous urine,1 has remarked, that “ the instances in which phthisis, or any form of scrofulous disease, has been connected with the renal affection, have been decidedly rare, so that in only four cases has recent phthisis developed itself; and what is somewhat remarkable, in more than double that number the disease seems to have made a certain inroad upon the upper lobes of the lungs, and then to have become quiescent, or to have entirely subsided, from which we should perhaps be inclined to infer, that, so far from the diseases being associated, the condition of body, in this form of renal disease, is unfavourable to the existence of phthi- sis, or certainly that it is not peculiarly apt to occur in scrofulous constitutions.’'’ These views have not been confirmed by the expe- rience of other observers. Dr Christison2 says, “ I have very little hesitation in putting down the scrofulous diathesis among the predisposing causes of granular disorganization of the kidneys. In repeated instances I have been led by the supervention of oedema during phthisis, to examine the qualities of the urine, and, al- though the result has not been invariable, still, in a great propor- tion of cases of the kind, the secretion has been found to possess the properties essential to the renal disease. In repeated instances the diagnosis during life has been confirmed by inspection of the body after death. On diverse occasions, too, the kidneys have been dis- covered on dissection in an advanced state of granular disorganiza- tion, when the condition had not been attended to during life, and when, nevertheless, from the state of the urine in the bladder, there could be no question that the pathognomonic characters of the disease might have been detected, had not the attention been withdrawn from them by some urgent symptoms.” 1 Guy’s Hospital Reports, vol. i. 1836, p. 381. 2 On Granular Degeneration, pp. 112, 113.
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