Transactions of the American Pediatric Society

Cover Transactions of the American Pediatric Society
Transactions of the American Pediatric Society
American Pediatric Society
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The removal of the kidney capsule in these cases may assist in temporarily checking the sclerosis of the kidney, but the forma- tion of the new capsule in a few months, and the impossibility of a complete cure effected during* these months of new capsule formation, seem to argue against a permanent cure in this class of cases. It is, however, not always an easy matter to decide how much of the inflammation is parenchymatous, how much is diffuse, and how much interstitial.
A careful study of the
... cases operated upon seems to show that if the nephritis is of comparatively recent origin, the urinary evidences of the nephritis being, perhaps, only of some months' duration, and if under the best medical care the case is not im- proving but growing progressively worse and there is more or less renal insufficiency, in these acute or subacute cases, a rapid improvement may follow a decapsulation. The symptoms in some of the reported cases disappear as if by magic, and the urinary findings show such a marked improvement that there is no doubt that the operation, and the operation alone, is accountable for such improvement; and there is no reason why, in cases of this character, an occasional complete cure might not result.

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