Clinicians are constantly on the alert to find a definite pathology for those conditions classed as functional diseases.
In recent years an unusual amount of attention has been directed to the so-called "regulators" of metabolism, namely, the glands of internal secretion, and the vegetative nervous system.
In my opinion, many cases, heretofore designated neuroses, on thorough investigation would be found to have a pathologic basis along the lines indicated. In this particular class of cases, the parathyroid gland is perhaps more often at fault than is generally supposed. Along with this, a serious want of balance in the vegetative nervous system is often an important factor.
The classical definition of tetany is: "It is a disease whose symptom complex consists essentially in intermittent bilateral muscular contractions which are painful in character, and usually without loss of consciousness."
The pathology of tetany, as understood today, is based on the postmortem findings,
MUNROE JP. CHRONIC TETANY: REPORT OF CASE. JAMA. 1915;LXV(7):599–602. doi:10.1001/jama.1915.02580070033009
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