The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14571151677)

Identifier: americanjournroen08ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto



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cessarily was imperfect. However,several fundamental facts aided in forming anebulous expectation of the shadows of lungsyphilis. 1. The peculiarities in the anatomicalstructure of the lung, as demonstrated byMiller, with the relations between bronchi,arteries and lymphatics, have an intimatebearing on the interpretation of the shadowsof all pulmonary lesions, including lungsyphilis. 2. The characteristic method of invasionof active syphilis, wherever found, by ex- RoENTGEN Ray Society, Minneapolis, Minn., Sept. 14-17, 1920. 26o A-Ray Shadows of Lung Syphilis tension along the arteries, is distinctly dif-ferent from the extension of tuberculosisthrough the lymphatics. A consideration ofthe relations of lymphatics and arteries tothe pulmonar)- subdivisions which are in- logical knowledge was, to a large extent, re-moved by the publications of VVarthin^^ onlatent syphilis, in 1918, and the more recentobservations of Carrera^ on the specific le-sions in the lung. It should be a matter of
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Fig. I (Patient 785). Peribronchial fihrotic type oflung syphilis. History of syphilis; Wassermannpositive; sputum ncgali\e; aliatement of lung signsunder mercury. A^olved, indicated that there would be a dis-tinct difii^erence in the shadows of these twodiseases. 3. Aside from the pathological differ-ences, the clinical observation had been thatthe lesions of tul^erculosis and syphilis oc-curred, as a rule, in different parts of thelung, the former in the upper and the latterin the lower lobes. 4. The characteristics of the shadow oftuberculosis being already definitely estab-lished, the differentiation would be betweensyphilis and other less common types of liuigdisease. Basing our observations on these facts byselecting patients known to have syphilis andmaking a careful study of the pulmonarydensities presented by them, certain types ofshadow could, with a fair degree of probab-ility, be classified as syphilitic. Then, by ob-serving the resolution of such shadows afterantiluetic t