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The Medical clinics of North America (v. 4,no. 1)
The Medical clinics of North America - v. 4,no. 1 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CLINIC OF DR. ALBERT A. EPSTEIN Mt. Sinai Hospital CLINICAL TYPES OF CHRONIC PARENCHYMATOUS NEPHRITIS—THEIR TREATMENT AND RESULTS Through the lack of a mo... more »re suitable nomenclature the term "chronic parenchymatous nephritis" is ordinarily applied to a variety of renal affections. Under this heading we find grouped cases of chronic diffuse nephritis, of amyloid kidney, and cases of so-called chronic nephrosis. Although the types of cases are pathologically different, the similarity of the outstanding symptoms, namely, albuminuria, oliguria, and edema, makes them frequently almost indistinguishable. Recent investigations on the chemistry of the blood and on the urine have added much helpful information on the diseases in question, but ultimate recognition of the exact nature of the renal disease in a given case often depends upon historic facts, etiology, and a number of associated clinical phenomena. Among the types of chronic parenchymatous nephritis which will be considered in the present discussion and illustrated by specific examples are the following: 1. The non-inflammatory type. (a) Pure form of chronic nephrosis. (6) Chronic nephrosis in association with myxedema: endocrine type. 2. The inflammatory type—diffuse nephritis. 3. Mixed type—primary nephrosis with superimposed diffuse nephritis. 4. Nephritis hi association with diabetes. THE NON-INFLAMMATORY TYPE Chronic nephrosis is a term not really suited to the condition which it is intended to define, but for want of a better name will be used here to signify the chronic degenerative tubular nephritis. Chronic nephrosis occurs usually in relatively young persons. It is of obscure or unknown origin, and bears no relation to known VOL. 4—10 145 infectious diseases. In women pregnancy may st...« less