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September 24, 1904


JAMA. 1904;XLIII(13):898. doi:10.1001/jama.1904.02500130046014

Fibrinous bronchitis is a rare disorder, probably of diverse etiology. The diagnostic feature is the expectoration of casts of the bronchial tree, of varied shape and length, in conjunction with a sense of suffocation, cyanosis, shallow and frequent respirations, enfeebled respiratory murmur, and unaltered percussion-resonance unless the alveoli become occluded or atelectasis develops. The symptoms disappear temporarily with the expectoration of the coagula, to return on their reformation. There has been some difference of opinion as to whether the casts consist of fibrin or of mucus, the one substance being found in some instances and the other substance in other instances. From all of the evidence, however, it would appear as if both substances are often present, sometimes together, sometimes alone. Confirmation of this view is afforded by a communication recently made by Dr. Gustav Liebermeister,2 who reports in detail a case of fibrinous bronchitis, and also gives the

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