The pulmonary form of acute miliary tuberculosis is admittedly the most rapidly fatal of all types of phthisical lesions. Its diagnosis does not as a rule present many difficulties because the marked prostration, cyanosis and dyspnea, which are apparently out of all proportion to the scant signs in the chest, constitute a veritable diagnostic triad. The roentgen-ray findings in such cases may at first be inconclusive; but, before long, the appearance of the characteristic diffuse dissemination of the miliary tubercles dispels any doubt as to the true nature of the process.
A form of chronic pulmonary tuberculosis is not infrequently observed in which the miliary tubercles appearing in large numbers is an important element in the lesion. These may be confined to the upper lobes, but are most commonly found in the lower lobes. It is only rarely that one finds a chronic case in which the miliary tubercles are
STIVELMAN BP, HENNELL H. CHRONIC PULMONARY MILIARY TUBERCULOSIS. JAMA. 1923;80(8):536–540. doi:10.1001/jama.1923.02640350018009
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