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October 22, 1949

Bright's Disease

JAMA. 1949;141(8):569. doi:10.1001/jama.1949.02910080069035

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This monograph on Bright's disease, a component part of the Oxford Loose Leaf Medicine, is the recorded personal experience of Dr. Henry A. Christian at the bedside and in the laboratory over a period of nearly half a century. It contains an excellent discussion of the normal and pathologic physiology of the kidney and the section on pathology is well illustrated. These sections give the reader the essential background for an intelligent understanding of the clinical aspects of the disease.

The reviewer wholeheartedly concurs with the author in his emphasis on the careful and repeated examination of the urinary sediment by the physician himself.

Dr. Christian uses a clinical classification of Bright's disease which differs from that generally employed by other workers in this field. He excludes acute pyelonephritis from this classification but includes chronic pyelonephritis or, as he terms it, "chronic Bright's disease secondary to pyelonephritis." This he justifies

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