Volume 1

Diseases of the arteries including angina pectoris / by Clifford Allbutt.

  • Thomas Clifford Allbutt
Date:
1915
Catalogue details

Licence: In copyright

Credit: Diseases of the arteries including angina pectoris / by Clifford Allbutt. Source: Wellcome Collection.

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    cavit, ubi opus erat ut aperta manerent.” And, in brief summary, arterial degenerations were recognised by Lancisi (1654-1720),1 Boerhaave (1668-1738), Winteringham, as I have said, Senac (1693-1770), Haller (in 1757),2 Morgagni (in 1764), Bichat (c. 1795), who found arterial disease in seven out of every ten men over the age of 60, Meckel (1781-1833), Scarpa, “ steatomatous arteries ” (1748-1832), and Hodgson (1810).3 Haller’s description of arterial disease is very interesting; of the succus luteolus ” or “ flavus ” “ between the muscular and the internal coat,” be¬ coming hard at first, but in all degrees softer or pultaceous, or drier; the intima in parts becoming “ quasi erosa,” or quite ulcerated.4 It is remarkable that Morgagni says little or nothing about general arteriosclerosis, as, for instance, in the limbs ; he describes it in the aorta and large vessels chiefly, but also in the cerebral and in the coronary; of these he said in one case that they were reduced to bony canals. Matthew Baillie mentions coronary atheroma only. Among the recent physicians and histologists who have carried this investigation forward, the names of Rokitansky, Virchow, Gueneau de Mussy, Johnson, Lobstein, Hodgson, Kirkes,5 Wilks, Lancereaux, Gull and Sutton, Debove and Letulle, Mahomed, Traube, Ewald, Broadbent, Peter, Potain, Cornil and Ranvier may be mentioned as of pioneers. Cor- visart6 described arteriosclerosis of the pulmonary artery. The name arteriosclerosis we owe to Lobstein, whose classical memoir may be accepted as the opening of the study of the diffuser lesion, as contrasted with patchy atheroma.7 He rightly 1 Pare is occasionally quoted as describing arterial disease, but he speaks of it, so far as I can find, only in connection with, and as a consequence of, aneurysm (Lib. vii. 32). Even Lancisi, who fully realised the importance of syphilis as a cause of aneurysm, which Baillie did not (vide iii. 32), failed to attain to the broader view of arterial disease as a forerunner of it. 2 Haller, Opusc. Path. vol. v. 3 For a fuller sketch of the history of this subject see Aitchison, Thesis for M.D., Oxford, Arch. Path. Inst. Lond. Hosp., 1908. 4 Haller, Elem. Phys. xlvi. 4; and Opusc. Path. Obs. lix. 5 I include Kirkes’ name as some work in this direction is usually credited to him. In his Physiology I find nothing; but I have followed the reference of others to the Med. Times and Gaz. of 1865. Here he supports Bright, who had already associated atheroma with chronic renal disease; but I do not see that he added much of his own. He has other and ampler claims on our gratitude. 6 Corvisart, Essai sur les mat. du coeur, ii. 428. 7 Lobstein, Traite ddanat. pathol., Paris, 1833, t. ii.
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