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February 11, 1950

De prognose van de initiele longtuberculose

JAMA. 1950;142(6):447-448. doi:10.1001/jama.1950.02910240065026

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This thesis discusses the prognosis of early minimal tuberculosis of the reinfection type and is based on material collected in the tuberculosis dispensary at the Hague. After the short historical introduction, the various theories on the development of initial pulmonary tuberculosis are presented. Of these, the subclavicular origin of the "early infiltrate," which has never met the approval of the pathologists, is considered most important. In 1938, the roentgen observations of Malmros and Hedvall indicated the initial foci were found in the cranial aspects of the lungs with no preference shown for the subclavicular regions. These are miliary pneumonias, recognized by the pathologists as initial phthisis a long time ago. A description of the objective and subjective symptoms of these foci is given. In the second chapter the author discusses the therapy of these lesions and conservative management is advocated. A chronologic survey of the literature indicates that the prognosis

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