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Article
October 11, 1902

THE EARLY CIRCULATORY INDICATIONS OF CHRONIC BRIGHT'S DISEASE.

Author Affiliations

Attending Physician Lincoln Hospital; Assistant Physician French Hospital, etc. NEW YORK CITY.

JAMA. 1902;XXXIX(15):882-883. doi:10.1001/jama.1902.52480410006001a
Abstract

By chronic Bright's disease we mean that familiar form of degeneration involving the blood vessels, the kidneys and the heart that in its regular course leads to the death of so large a proportion of the human race who have otherwise been healthy and able to enjoy active and useful careers.

PRIMARILY A DISEASE OF THE CIRCULATION.  I have long since ceased to regard this condition as essentially a disease of the kidneys, though in the final catastrophe these organs are more often chiefly at fault. Primarily, it is a disease of the circulation in which the brain and the kidneys, being as it were end-organs, first manifest symptoms.A case that has been under observation for five years has just ended fatally by the involvement of the circulation of the brain, producing progressive stupor and finally coma, paralysis and death. The kidneys at the time of death were apparently

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