DR HUGHES BENNETT said, that the antagonism of this carbonaceous disease
to tubercle, was a fact of great interest and importance, especially in
connection with two other recent observations; viz. 1st, That the
depositions of carbon in the lungs of old people, (which French
pathologists describe,) are not found associated with tubercle; and, 2d,
That under the supposed cicatrices of pulmonary tubercular cavities, a
layer of carbonaceous matter is commonly found.
Dr Makellar's paper called forth some interesting observations from the
President, Professor Simpson, and others.
BLACK PHTHISIS,
OR
ULCERATION INDUCED BY CARBONACEOUS ACCUMULATION IN THE LUNGS OF
COAL-MINERS
Among the many diseases incident to the coal-miner, none come oftener
under medical treatment, than affections of the respiratory and
circulating organs. While the collier is subject--during his short but
laborious life--to the other diseases which afflict the labouring
classes in this country, such as inflammations, fevers, acute
rheumatism, and the various eruptive diseases, he, at last, unavoidably,
falls a victim to lesions within the cavity of the chest, arising from
the nature of his employment. In the present communication, it is
proposed to lay before the profession a series of remarks, which I have
been enabled to put together, with a view to elucidate the cause and
progress of that very peculiar pulmonary disease, incident to
coal-miners, which I shall denominate BLACK PHTHISIS, or Ulceration
induced by Carbonaceous Accumulation in the Lungs.
The rise and progress of the malady may be thus sketched: A robust young
man, engaged as a miner, after being for a short time so occupied,
becomes affected with cough, inky expectoration, rapidly decreasing
pulse, and general exhaustion. In the course of a few years, he sinks
under the disease; and, on examination of the chest after death, the
lungs are found excavated, and several of the cavities filled with a
solid or fluid carbonaceous matter.
During the last ten years, my attention has been much directed, in the
course of my professional labours in the neighbourhood of the
coal-mining district of Haddingtonshire, to the above phenomena in the
pathology of the lungs, which have not hitherto been brought so fully
before the profession, as their importance demands. The subject presents
a very interesting field of investigation to the physiologist and
pathologist.
When we consider the difficulties which the medical man has to
encounter, in prosecuting his researches in morbid anatomy in a mining
district, it is sufficiently explained why the peculiarly diseased
structures in the body of the coal-miner should have been left so long
uninvestigated.
Public-domain text, read in full here on John Shaqi.
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