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September 27, 1890

PUERPERAL ALBUMINURIA.Read in the Section of Obstetrics and Diseases of Women, at the Forty-first Annual Meeting of the American Medical Association, Nashville, Tenn., May, 1890.

JAMA. 1890;XV(13):460-463. doi:10.1001/jama.1890.02410390012002a

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By albuminuria I mean a condition in which albumen appears in the urine. It may or may not be associated with a decided diffuse nephritis; I say decided, for it is more than likely that if albumen exists for any length of time in the urine, there is more or less nephritis.

I have never been able to distinguish between albumen of Bright's disease and that where the disease does not exist. Semmola, in the Archives oj Physiology, states that there is a difference in the appearance of the precipitate; and that the albumen of Bright's disease diffuses more rapidly through animal membranes.

A very important form of albuminuria is that found during pregnancy; most frequently in primiparæ, and frequently associated with other symptoms of Bright's disease. The following is a very interesting case:

Mrs. D., aged 32, primipara. Family history: Father was an epileptic; other than this it

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