On chronic bronchitis : especially as connected with gout, emphysema, and diseases of the heart being clinical lectures delivered at the Middlesex Hospital / by E. Headlam Greenhow.

  • Greenhow, Edward Headlam, 1814-1888.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: On chronic bronchitis : especially as connected with gout, emphysema, and diseases of the heart being clinical lectures delivered at the Middlesex Hospital / by E. Headlam Greenhow. Source: Wellcome Collection.

    36/296 (page 12)
    habitually occur in persons wlio have either them- selves suffered from gout, or in whose famity there is a decided gouty taint: and I may now add, that albu- minuria is also frequently induced by a gouty state of the system ; and that it, in fact, coexisted with gout, or occurred in gouty constitutions, in several of the eight cases here referred to. It is, therefore, no matter of surprise to find, as I have said and as indeed many of you have had the opportunity of observing, that cases of bronchitis are often complicated with more than one of these affections at the same time ; as, for instance, with gout and psoriasis, or with gout and albuminuria, or even, as in one remarkable case which I shall relate to you (Case XXIV.), wdth gout, psoriasis, and albuminuria all together. There were, however, other complications to which I must also refer. In fifteen cases, nine of which showed rheumatic fever in their previous history, the bronchi- tis was associated with cardiac disease; in nine other cases with emphysema, and in three with phthisis. Bronchitis is, indeed, a frequent attendant on phthisis ; but I have excluded from the cases selected for my present purpose all ordinary cases of phthisis, and have only admitted the three cases last men- tioned, because in each of them the bronchitis was the predominant ailment, being general and its symptoms well marked, whereas the phthisis was of limited extent and its symptoms were by no means prominent. You will recollect that we found a distinct history of phthisis in the families of eighteen of our