=Kidneys.=--Here again, congestion and hemorrhage are the two lesions
most commonly found. The kidneys also may show any of the forms of
nephropathy ordinarily recognized, but these must be regarded as
complicating conditions and not a part of the true scurvy.
Small hemorrhages may be found in the uterus, bladder or urethra. They
are especially common in the bladder, both in man and in the guinea-pig,
and in some instances may be the cause of the hæmaturia noted during
life.
=Lymph-nodes.=--General enlargement of the lymph-nodes has been
described, but occurs probably only in advanced cases where a general
infection has been superadded. As a rule the enlargement is confined to
nodes draining areas where hemorrhage has occurred. On section these
nodes are reddish or brownish as the result of the pigment which they
contain, the "black and red spots of different sizes" mentioned by Lind.
Following infection they may become purulent, resulting in the inguinal
buboes so frequently mentioned by the older authors,[31] or in the
purulent mesenteric nodes associated with intestinal ulceration.
[31] Lind writes: "In the months of July and August I opened near
seventy large swellings in the groin, proceeding entirely from scurvy."
... "We found the glands under their arm-pits much enlarged and
surrounded with purulent matter, as well as the muscles of their arms
and thighs." ... "The glands of the mesentery are generally obstructed
and swelled. Some of these were found partly corrupted and
imposthumated."
=Organs of Internal Secretion.=--Until recently these organs have
received but little attention. It is probable, however, that in the near
future they will be the object of close study and that new information
will be acquired as to their condition in this disorder. Hemorrhages are
commonly seen in the adrenals, enlarging them greatly and giving them a
deep red color; the hemorrhage generally involves mainly the medullary
portion.[32] It is probable that careful scrutiny will disclose
hemorrhages in the other glands of internal secretion. The question of
the involvement of these glands will be again considered under the
microscopic anatomy, and has been taken up from a functional standpoint
in treating of the possible indirect action of the vitamines.
[32] In view of the report of Hart and Lessing of calcium deposits in
the adrenal glands of monkeys suffering from scurvy, special attention
should be given to this point in necropsies on human beings.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account