A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
The frequent effusions of blood in scurvy led Andral to suspect that
the chief peculiarity in scorbutic blood was the decrease of fibrin;
which was {174} in perfect accord with a theory that he had formed that
this change was the uniform cause of passive hemorrhage. Magendie had
already given experimental support to this conjecture by inducing in
animals phenomena analogous to those of scurvy by the injection into
the veins of defibrinated blood or of alkaline solutions. Andral[7]
believed his views confirmed when in 1841 he analyzed on two occasions
the blood of scorbutic patients and found the fibrin reduced to 1.6
parts per 1000. Similar results were obtained by Eckstein and Frémy. On
the other hand, the blood was analyzed by Busk, about the same time, in
three well-marked cases of scurvy that occurred on the Dreadnaught
hospital-ship, and in all of them the fibrin was in excess of the
normal amount, the least being 4.5 and the greatest 6.5 parts per 1000.
In perfect accord with Busk's results were the analyses of the blood of
five scorbutic females, communicated in a note to the Academy of
Sciences in 1847 by Becquerel and Rodier. In no case was the fibrin
diminished, but in some it was sensibly increased. In a subsequent case
Andral found that the fibrin, instead of being less, exceeded the
physiological mean, reaching 4.4 parts, and he concluded that a
diminution of this element was not a necessary and common occurrence,
but only an effect--a result of prior morbid modifications, and a
consequence which was produced more or less frequently according to the
severity and duration of the disease. Parmentier and Déyeux found the
blood of three scorbutics to resemble inflammatory blood in respect to
fibrin, while Frick obtained in one analysis 7.6 parts of fibrin and
Leven 4.3 parts.
[Footnote 7: _Essai d'hématologie pathologique_.]
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