Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
{65} Tyrosine may be obtained in a pure state by adding to four ounces
of urine a solution of acetate of lead, till a precipitate ceases to
form, filtering, and freeing the liquid from the excess of lead by a
current of sulphuretted hydrogen, again filtering, and evaporating the
clear solution. The tyrosine is now colourless, and crystallizes with
the microscopic characters above alluded to, but still better marked.
Tyrosine may be further recognised by putting a few crystals on a
platinum spatula, adding a drop or two of nitric acid, and evaporating
to dryness. If present, the yellow residue thus obtained assumes a
pumpkin hue on the addition of potash, and leaves on incineration a
dark greasy stain. Frerichs recommends another test, namely, the
following:--Put the suspected substance into a watch-glass, along with
some sulphuric acid, and after they have been in contact about half an
hour, dilute the mixture with water. Next boil, and then neutralize
with carbonate of lime. Filter, and to the clean filtrate add a few
drops of perchloride of iron, devoid of free acid. The formation of a
dark violet blue colour indicates the presence of tyrosine.
Leucine is known by its flat, circular, oily-looking discs, without any
crystalline structure. At the first glance, a globule of leucine might
be mistaken for oil, not only on account of its {66} microscopical
characters, but also on account of its being lighter than water. The
globules of leucine are distinguished from those of oil by their being
soluble in water, and boiling alcohol, and insoluble in ether. Besides
this, the discs are occasionally opaque and laminated like the granules
of potato starch. They are then not at all unlike microscopic crystals
of the carbonate of lime; but the carbonate of lime crystals sink in
water.
[Illustration: FIG. 6. Dark globules of leucine of various sizes,
resembling in appearance globules of carbonate of lime.]
Both tyrosine, and leucine are usually deeply impregnated with the
colouring matter of the urine.
Since Frerichs' views were first published I have found tyrosine, and
leucine in the urine of cases of chronic, as well as of acute atrophy
of the liver. Their presence may therefore aid in diagnosing the latter
as well as the former condition of the hepatic organ.
{67} I have little doubt that future research will discover other
conditions of the liver, besides those just mentioned, in which
tyrosine, and leucine, may appear in the urine; for, as will be
subsequently pointed out at page 96, I have been successful in
producing them artificially in the urine of animals in which there was
no evidence either of acute or chronic atrophy of the liver having
taken place. In the cases cited, indeed, it will be seen that the
jaundice was the result of suppression, consequent upon congestion of
the liver, produced by blood poisoning.
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