The sunburnt appearance of the skin as an early diagnostic symptom of supra renal capsule disease / by Isaac E. Taylor.

  • Taylor, Isaac E. (Isaac Ebenezer), 1812-1889.
Date:
1856
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Licence: Public Domain Mark

Credit: The sunburnt appearance of the skin as an early diagnostic symptom of supra renal capsule disease / by Isaac E. Taylor. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    the central medullary portion has nearly a grayish white color, and on those who have been the subjects of cardiac or pulmonary obstruction, or in those long dead, the centre has been generally red and soft. This, however, is not sufficient to account for the different appearance met with, and it still remains to be decided, whether this be due to disease, age, or post mortem changes. Some anatomists have supposed they had no excretory ducts, while others, such as Bartholin, Vauquelin, Peyer, etc., believed they had, and accordingly they communicated with the testicles and ovaries ; with the thoracic canal, by Kulmus; with the pelvis of the kidney, by Heuerman and Bendt. Cassan and others have asserted that the supra renal capsules were larger in the Negro than the Caucasian race, and their medullary substance darker ; and Meckel has found this to be the case in the negress but not in the negro. Those who admit an excretory duct to the genital organs, necessarily connect the renal capsules directly with them, and Meckel has observed their simultaneous and considerable development in several orders of mammalia, and this has sug- gested the same idea to himself, but he was unable to describe the mode in which the supra renal capsules and the general organs cooperated. Vauquelin has found the capsules ossified in a cat from whom the ovaries had been extirpated. Lobstein, that of the left capsule triple the size, by a chalky mass, in a man who had long been affected with syphilis; and in two indi- viduals, according to Meckel, who were addicted to venery, they were unusually large ; and in a deformed female, after parturition, in whom the uterus and ovaries were atrophied, they were also atrophied. Otto has seen them twice the usual size in one case, where the ovaries were much develop- ed. Treviranus considers them as imperfect rudiments of the genital organs. Sometimes there is but one capsule, and sometimes they increase in number and resemble the spleen in this respect; but it is believed to be difficult to determine whether this state be only a simple division, or as a real increase of the capsule. Rokitansky has observed that accessory supra renal capsules, indicating an apparent excess of development, are of frequent occurrence, and sev- eral flattened accessory capsules are then found on the renal and solar plexus, and on the ganglion of the latter nerve, varying in size from a millet to a hemp seed. In the morbid anatomy of the cases reported by Dr. Addi-