Lymph-stasis, or, Retardation of lymph, as an element in the causation of disease : especially in regard to scrofula and tuberculosis / by Wayland C. Chaffey.

  • Chaffey, Wayland C.
Date:
1890
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Licence: Public Domain Mark

Credit: Lymph-stasis, or, Retardation of lymph, as an element in the causation of disease : especially in regard to scrofula and tuberculosis / by Wayland C. Chaffey. Source: Wellcome Collection.

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    conditions a sliglit amount of glandular disease may be suffi- cient to engender a retardation of lymph, whereas the lymph- atics were competent up to a few days before death. It seems to me that considerations such as these will explain the fact that tubercles frequently develop in various organs during the last days of an illness, and particularly if the patient be already the subject of tubercle in some other organ. But it is espe- cially in parts, such as near the diseased bronchial glands, where a certain degree of lymph stasis may be presumed to be present, that this late form of tuberculosis is apt to arise. The same remark applies to instances of recent tubercle deve- loping in the vicinity of caseous deposits other than those met with in the lymphatic glands. My observations lead me to believe that a certain degree of stasis of lymph is necessary in order that tubercle may develop, and that this stasis is engendered by various conditions, most important because most directly effectual, being caseous disease of the lymphatic glands related to the part in which the tubercle appears. The occurrence of tuberculosis is not usually the primary effect of lymph-stasis. Non-absorption of lymph precedes it, and this lymph may be the result of an acute inflammation. Other facts structure of time tubercle is essentially lym- relating to plioid, and has been described by Eindfleisch and the nature others as originating in the endothelium of lymph- and distil- atics. One can readily understand how the cells bution^of lining tbe lymphatics will be the first to suffer from lowered nutrition when retardation of lymph occurs. The bacillus of tubercle appears to have its seats of election like other specific germs, but the possibility of its growth depends, so far as my observations lead me to believe, upon a certain degree of lymph-stasis. This condition, as I remarked before, is obviously much more readily induced in some organs than in others. Tuberculous ulcers of the intestines are always found associated jvith caseous* mesenteric glands. The latter, however, may be far advanced in disease whilst the associated ulcers sometimes appear not to be of long standing. Where only one or two mesenteric glands are diseased and situated at * Or some other structural change, such as amyloid disease {vide Abstr., No. 77).