A System of Genito-Urinary Diseases, Syphilology and Dermatology Volume 2 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1893 Excerpt: ... an opening in the flank. It is t--y to imagine other similar extensive gummata of the kidney which might, like extensive abscesses of the part, discharge themselves into the bowel or the thoracic cavity, though no one has yet, to my knowledge, recorded such instances. HEREDITARY RENAL SYPHILIS. Syphilis, when at all active in one or both of the parents, is, as is well known, very fatal to infants, a large percentage of those which are born lire dying about the time of birth or shortly afterward from the effects of the disease on the vital organs. Jullien (Kev. Mensnelle des Mai. de l'Enfance, Paris, July, 1891) relates the histories of two hundred and six cases of pregnancy contaminated by syphilis more or less active, and calls attention to the great mortality. Many pathologists, among them Klebs, Yirchow, and Lancereaux, have found, on post-mortem examination in some of these cases, disease of the kidneys, together, generally, with disease in connection with other organs. It is not probable, therefore, that syphihs in such instances confines itself very strictly to one organ, but is rather general in its determinations. Pathologists still have much work to do in this field, as most of the ideas are based on gross pathology. In some cases, where, from the symptoms during life, there was reason to suspect that the kidneys would be found involved, these organs to the naked eye have presented no special lesion. Then, again, when abnormal appearances are presented, these appearances do not seem to be very uniform. Klebs states that it is common under such conditions to find the kidneys pale and firm, presenting evidences of interstitial inflammation. Virchow has seen such kidney enlarged, friable, light yellow in color, and dotted in places with red...