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August 1908


Arch Intern Med (Chic). 1908;II(1):62-73. doi:10.1001/archinte.1908.00050060065004

It is interesting that a condition looked on as one of considerable importance by the French clinicians is accorded but the most indifferent consideration by those of other countries. Hemorrhage of the adrenals has been generally recognized as a common pathologic finding in stillborn infants or those dying shortly after birth, and the literature of Italy, Germany and England contains occasional references to hemorrhage or other acute destructive lesions of the adrenals in adults. In none of the countries outside of France, however, has acute insufficiency of the adrenals become a factor in medical diagnosis in advanced life as well as in infants. It might be suggested that this state of affairs is but the result of the conservatism of the American, German, English and Italian clinicians contrasted with the somewhat more unstable, fanciful attitude of their French brethren. That a symptom-complex dependent on acute insufficiency