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Article
June 1939

CLINICAL RECOGNITION OF TUBERCULOSIS OF THE MAJOR BRONCHI

Author Affiliations

NEW YORK

From the Tuberculosis Division of the Montefiore Hospital for Chronic Diseases.

Arch Intern Med (Chic). 1939;63(6):1132-1157. doi:10.1001/archinte.1939.00180230117009
Abstract

Recognition of tuberculous disease of the trachea and the major bronchi is a recent achievement in clinical diagnosis. Although it is easy to understand why older clinicians, unaided by the roentgen film and the bronchoscope, did not suspect the existence of bronchial tuberculosis, it is not clear why pathologists failed to discover the changes characteristic of the condition at autopsy. Textbooks on pathology have been strangely silent with respect to this condition, which is now frequently reported from clinical sources.

With respect to the clinical features of bronchial tuberculosis, until recently references in the literature have been meager and have usually comprised reports of single cases, such as those by Korol,1 Neumann,2 McConkey,3 Crimm and Strayer,4 Fleischner5 and Sanes and Smith.6 In these cases the diagnosis, although clinically suspected, was proved only by autopsy.

Progress in the diagnosis of bronchial tuberculosis and allied conditions has run parallel with the

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