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January 8, 1887


JAMA. 1887;VIII(2):53-56. doi:10.1001/jama.1887.02391270025012

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Pathology of Scarlatinal Nephritis—Removal of the Vermiform Appendix.

At the last meeting of the New York County Medical Association Dr. Frank Grauer, of the Carnegie Laboratory, who during the past summer has been making special researches on the subject in Friedländer's laboratory in Berlin, presented a valuable contribution to our knowledge of the Pathological Anatomy of Scarlatinal Nephritis. He followed Friedländer's classification in general; dividing the varieties of the affection met with post-mortem into three types, viz.: initial catarrhal nephritis; large, flabby, hæmorrhagic kidney; and acute glomerulonephritis; or nephritis post-scarlatinosa.

The initial catarrhal nephritis is the form met with in the first week of scarlatina; generally accompanying the rash, lasting for a few days to a week, and then gradually disappearing. It rarely tends to death, and is liable to be entirely overlooked. It is only recognized by a chemical and microscopical examination of the urine,

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