A practical treatise on the diseases of infancy and childhood / by Thomas Hawkes Tanner.

  • Tanner, Thomas Hawkes, 1824-1871.
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the diseases of infancy and childhood / by Thomas Hawkes Tanner. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    803 CHAPTER V. DISEASES OF THE URINARY SYSTEM. I. INTRODUCTORY REMARKS. Though the subject of renal diseases in early life is one which does not usually receive any very great amount of attention from systematic writers on childrens diseases, there is nevertheless suf- ficient evidence in our mortality tables to prove that, measured by this standard, it is a matter of great importance. We find, for in- stance, that in the Report of the Registrar General for the year 1866, there died from renal disease in England alone no less than 720 children under fifteen years of age, and of these 272 died under five years of age. When we come to analyse these facts a little further, we find that the following were the specific renal diseases with the numbers of fatal cases of each :— Under 1 Year. l 2 3 4 5 10 15 Total. Nephritis . . . 12 19 1 4 19 8 37 9 11 129 Ischuria . . . 8 — 2 1 1 1 3 2 18 Nephria .... 11 29 17 15 9 62 45 57 245 Diabetes .... 1 2 1 3 2 12 19 45 85 Stone — 2 3 3 6 14 — 3 31 Cystitis .... 1 2 — — 1 4 4 6 18 Kidney Disease . 20 20 17 12 11 36 24 54 194 Total . . 53 74 54 53 38 166 104 178 720 The term Nephria in this table is used as synonymous with Bright’s Disease, and it thus appears that out of a mortality of 720 from all kinds of renal disease in children under fifteen years of age, no less than 245 died of Bright’s Disease, of which 164 were between the ages of five and fifteen. It is not improbable that, if greater attention were given to the subject, the mortality from renal diseases would be found to be much greater than is here indicated; for in our own experience we have noticed, that morbid conditions of the urine, and especially albumi- nuria, are much more frequent accompaniments of other diseases in children than is commonly supposed. It is likely, therefore, that the supervention of renal disease may not seldom be the