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July 21, 1900


JAMA. 1900;XXXV(3):164. doi:10.1001/jama.1900.02460290034005

Fibrinous casts are formed in the bronchial tubes under several conditions, such as the presence of diphtheria and pneumonia, and blood-casts may appear in connection with hemoptysis; but apart from these, there occurs an independent disorder, in which bronchial casts are expelled in paroxysms attended with dyspnea and cough. Of this last-named condition, the etiology and the pathology are obscure. The disorder is generally chronic and characterized by recurring paroxysms. Opinions differ as to the nature of the casts expelled, which are believed by some to be really fibrinous, and by others mucinous. It has also been suggested that the bronchial casts result from chylous exudation, but this view has not received acceptance. A case presenting several interesting features was demonstrated a short time ago by Strauss1 at a meeting of the Association of Charité Physicians at Berlin. The patient was a man, 58 years old, with a history