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Bright's disease

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Bright's disease is a historical classification of kidney diseases that would be described in modern medicine as acute or chronic nephritis. The term is no longer used, as diseases are now classified according to their more fully understood etiologies.[1][2] [3]

It is typically denoted by the presence of serum albumin (blood plasma) in the urine, and frequently accompanied by edema (tissue particulate).

Symptoms

These associated symptoms in connection with kidney disease were first described in 1827 by noted English physician Richard Bright.[4] Since that time, it has been established that the symptoms, instead of being, as was formerly supposed, the result of one form of disease of the kidneys, may be dependent on various morbid conditions of those organs.[5] Thus, the term Bright's disease, which is retained in medical nomenclature in honor of Dr. Bright, must be understood as having a strictly historical application.[6]

The symptoms are usually of a severe nature. Back pain, vomiting and fever commonly signal an attack. Edema, varying in degree from slight puffiness of the face to an accumulation of fluid sufficient to distend the whole body, and sometimes severely restrict breathing, is a very common ailment. The urine is reduced in quantity, is of dark, smoky or bloody color, and exhibits to chemical reaction the presence of a large amount of albumin, while, under the microscope, blood corpuscles and casts, as above mentioned, are found in abundance.

This state of acute inflammation may severely limit normal daily activities, and if left unchecked, may lead to one of the chronic forms of Bright's disease. In many cases though, the inflammation is reduced, marked by increased urine output and the gradual disappearance of its albumen and other abnormal by-products. A reduction in edema and a rapid recovery of strength usually follows.

Treatment

Acute Bright's disease was treated with local depletion, warm baths, diuretics, and laxatives. There was no successful treatment for chronic Bright's disease, though dietary modifications were sometimes suggested.

Well-known victims of Bright's disease

References

  1. ^ Cameron JS (1972). "Bright's disease today: the pathogenesis and treatment of glomerulonephritis--I". British medical journal. 4 (5832): 87–90 contd. PMC 1786202. PMID 4562073. {{cite journal}}: Unknown parameter |month= ignored (help)
  2. ^ Cameron JS (1972). "Bright's disease today: the pathogenesis and treatment of glomerulonephritis. II". British medical journal. 4 (5833): 160–3 contd. PMC 1786377. PMID 4263317. {{cite journal}}: Unknown parameter |month= ignored (help)
  3. ^ Cameron JS (1972). "Bright's disease today: the pathogenesis and treatment of glomerulonephritis. 3". British medical journal. 4 (5834): 217–20. PMC 1786525. PMID 4563134. {{cite journal}}: Unknown parameter |month= ignored (help)
  4. ^ Bright, R (1827–1831). Reports of Medical Cases, Selected with a View of Illustrating the Symptoms and Cure of Diseases by a Reference to Morbid Anatomy, vol. I. London: Longmans,. {{cite book}}: Cite has empty unknown parameter: |coauthors= (help)CS1 maint: date format (link) CS1 maint: extra punctuation (link)
  5. ^ Wolf G (2002). "Friedrich Theodor von Frerichs (1819-1885) and Bright's disease". American journal of nephrology. 22 (5–6): 596–602. PMID 12381966.
  6. ^ Peitzman SJ (1989). "From dropsy to Bright's disease to end-stage renal disease". The Milbank quarterly. 67 Suppl 1: 16–32. PMID 2682170.
  7. ^ Nature Doctors Pioneers in Naturopathic medicine, Kirchfeld and Boyle , NCNM press 2005 pg 215
  8. ^ Smith, P. David. Ouray - Chief of the Utes. Ridgway, Colorado: Wayfinder Press, 1990.