Editorials

1889 Boston Medical and Surgical Journal  
have compiled some statistics showing the frequency of albuminuria in diseases other than Bright's disease, and in old people. At the hospital Broussais, in 1886, they sought for albuminuria in the urine of 350 patients, male aud female. In most of these patients the urine was analyzed many times during their stay in the hospital. The reagents employed were heat and acetic acid, nitric and picric acids and Millard's test. Out of these 350 patients there were 184 (52.5%) who were albuminurie.
more » ... ere albuminurie. These patients were divided into four categories : (1) The tuberculous, 97 in number ; albuminuria was noted iu 45 (46.3%). (2) Patients suffering from cardio-vascular affections, that is, organic lesions of the heart or generalized atherotna, or cerebral atheroma with hemiplegia. The number of patients in this category was 81, of whom 48 were past the age of sixty ; 53 were albuminurie (05.4%). (3) Patients with slight affections, such as fibricula, rheumatoid pains, neuralgia, dyspepsia, varices, hysteria, aineuiia. The whole number included in this class was 106, of whom 35 had albumen in trifling quantity in the uriue (33.3%). (4) In a last category, they grouped, on the one hand, acute febrile diseases, -pneumonia, typhoid fever, acute rheumatism, erysipelas, in which albuminuria is constant ; and, on the other, divers apyretic or chronic medullary, hepatic, pulmonary and other affections. The whole number was 66, of which 38 were acute diseases, and attended with albuminuria. Of the 28 apyretic cases, albumen was noted in the urine ..I 18 (46".4%). To determine the frequency of albumen in the urine of the aged, they availed themselves of observations made in the hospital (Ivry, service of Ollivier). '¡'lie tesis employed were heat and nitric acid. They grouped these cases in three classes, according to the age of the subjects ; from sixty to seventy years, from seventy to eighty years, and from eighty to ninety years. In the first class (between sixty and seventy) there were 56 patients; 27 were albuminurie (48%) and 29 non-albuminuric. The diseases from which these patients were suffering were : biliary lithiasis, acute aortitis, chronic bronchitis, mitral insufficiency, cerebral ramolissement, pericarditis, pneumonia, cerebral haemorrhage, paralysis agitans, multilocular sclerosis, chronic bronchitis with emphysema, aortic insufficiency, chronic rheumatism, cancer of the stomach, locomotor ataxia, hemiplegia, etc. In the second class (between seventy and eighty), there were 80 patients ; 48 of these were albuminurie (60%). Diseases were much the same as those above given, general atheromatous and cerebral affections predominating. In the third class (between eighty and ninety), there were 21 patients ; 15 of these were albuminurie (71%). Predominant diseases: cardiac, arterial, cerebral. Thus, out of a total of 157 subjects, male and female, aged from sixty to ninety years, in 90, or 57%, the urine was found to coagulate under heat aud nitric acid. Of the above 157 cases, 73 had died prior to the publication of the statistics, and the autopsy gave an opportunity to note the state of the kidneys. Of these 73 subjects, 56 had albumen in the urine during life; 17 were exempt from albuminuria. In the 56 patieuts who had had albumen in the urine, there were found :
doi:10.1056/nejm188911211212113 fatcat:ebjwdyeknvdulmfli4kcajmr6a