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?]
Catalogue details

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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    branes on the pericardium, and 12, more or less extensive hyper- trophy, with or without thickening and opacity, or actual disease of the valves. Of my own cases, the state of the heart is expressly reported in 38. It was found healthy in 17, and in 5 other cases the only abnormal condition was slight increase of size, with or with- out thickening and opacity of the valvular folds of the endocardium; of the remaining 16 cases, in 2 there existed recent pericarditis; in 9 hypertrophy and dilatation of one or both of the ventricles, with, in some cases, thickening and opacity, but no incompetency in the valves; and in one of these cases the organ had also under- gone the fatty degeneration : In four cases there existed aggravated valvular disease, and in 1 true aneurism of the septum ventriculorum. Thus, of the 102 cases of granular disease, in which the state of the heart was examined and recorded, that organ was decidedly diseased in only 33, or including the cases of recent pericarditis, in 37, or 36-4 per cent. The condition of the liver is reported by Dr Gregory in 29 cases, of which number it is stated to have been healthy in 12, and more or less extensively diseased in 17. Of the latter class, however, in several instances there seems to have been only trivial alterations of size or colour; and probably, in not more than 8 or 10 cases did there exist organic disease. In 40 of M. Rayer’s cases, the state of the liver is described. In 13 it was healthy; in 7 others it was only more or less engorged, giving rise to slight alterations of size or colour ; and in two cases the peritoneal surface was covered by recent lymph, though the tex- ture of the organ was healthy. It thus appears, that not more than 18 cases presented important changes. In 7 of these, there existed marked increase of density in the organ, with or without alteration of size and colour; in 3, there was great enlargement; in 3, cirr- hosis; in 3, the organ was fatty; and in 1 it contained tubercle. In one case, the nature of the disease is not stated. In the cases taken from the Register of Dissections at the Edin- burgh Infirmary, the condition of the liver is reported in 30. In 11 it is stated to have been found healthy; in 10 others the only alterations were dependent on the degree of engorgement from ex- ternal causes, combined in 3 cases with thickening, opacity, or ad- hesions of the peritoneal coat; and in an 11th case, while the sub- stance of the organ was healthy, the serous covering had been im- plicated in general peritonitis; so that the viscus was organically diseased in only 8 cases, of which 5 were instances of adipose de- generation, with greater or less enlargement; in 2 the organ con- tained tubercles, and in one there existed early cirrhosis. The liver was, therefore, organically diseased in 36 of the 99 cases examined, or in 36'3 per cent. The lungs were examined and reported in 31 of Dr Gregory’s cases, of which 22 displayed different forms of disease, and 8 were decidedly, and one slightly, affected with tuberculous deposition.
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