Sir Arthur William Mayo Robson The Pancreas

ISBN 13: 9781153770477

9781153770477: The Pancreas

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1907 Excerpt: ...It may be contended that the specific diabetic disturbances of the pancreas are not necessarily connected with visible anatomical alterations of the islets, or in any other tissue of the gland, and, although it is possible that in some instances there may be minute alterations in the molecular arrangement of the cells which cannot be discovered with the microscope, we are at present unacquainted with any other method of demonstrating minute morbid changes, and most perforce abide by the results obtainable by the means at our disposal. It is possible, however, that at the present time we include under the term diabetes several conditions, having somewhat similar symptoms, and all characterised by the presence of glycosuria, which are not due to the same cause. There is no doubt that those in which lesions of the pancreas are present form a larger class than is generally supposed, but it may prove that diseases of other organs or tissues are responsible for some, and that the cases in which the pancreas appears to be normal after death have a separate origin. At the same time it is well to bear in mind, as von Noorden has insisted, that scientific medicine has been so long under the influence of morbid anatomy that it is often difficult to realise that important disturbances of function may occur when microscopical examination reveals no distinctive pathological changes. The association of arteriosclerosis, gout, syphilis, and alcoholism with diabetes is probably to be explained by the fibrotic and degenerative changes which each is capable of setting up in the pancreas. Cirrhosis of the liver is often found to coexist with chronic interstitial pancreatitis in diabetes, and both probably originate from the same causes. The apparently infective cases of diabet...

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