Eminent doctors: Their lives and their work; Vol. 2 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 2 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The achievement of Dr. Addison, however, which has attracted most
general notice, is his discovery of a disease of the supra-renal
capsules, the small organs adjacent to the kidneys, whose function
has not yet been satisfactorily ascertained. We are told that in
one case, which had baffled all investigation, Addison was called
in, and after careful enquiry, stated positively that the patient
suffered from a disease of these organs, which would before long
prove fatal. This opinion was received with polite incredulity,
but it was justified by the result, and the supra-renal capsules
were the only organs that were found diseased. This extraordinary
diagnosis was soon noised abroad, and on the Continent brought
Addison more honour than in England. Trousseau in France was
cordially supported in naming it “la Maladie d’Addison” (Addison’s
disease), a name which it will long retain. But the disease was not
discovered in this apparently sudden and striking manner, but was
the result of observations carried on for many years, in which
his powers of deduction from a few cases and imperfect data were
most strikingly evidenced. The disease occurs rarely, and very few
hints or materials for comparison were available. A form of wasting
disease without any apparent organic injury had been again and again
observed—bloodlessness, extreme prostration, and various shades of
alteration in the colour of the skin, being prominent symptoms. A
certain bronzing of the integument was, and still is, an inexplicable
concomitant, and no light was thrown upon it till Addison, carefully
examining the organs of a deceased patient, when no other disease
could be detected, discovered signs of malady in the supra-renal
capsules. He identified the disease, and though he did not absolutely
mark it out from all others, he gave a very perfect account of the
symptoms in the cases which he had met with, and showed that no other
disease could be connected with them—indeed no other disease of these
capsules has been discovered.
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