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Abstract That tumors of the suprarenal gland may be associated with hypertension was first pointed out by Edmund Neusser.1 He observed two patients in whom the condition ran the typical clinical course of nephritis with hypertension, but at necropsy the kidneys and arteries were found not affected, the pathologic finding in each instance being a neoplasm of the suprarenal gland, described as a carcinoma by Neusser. These observations attracted little attention till Vaquez,2 influenced by Josué's discovery of the vascular lesions produced by epinephrin, formulated the doctrine that arterial hypertension is due to hyperepinephrinemia. It was shown that diffuse hyperplasia and circumscribed adenoma formation in the suprarenal cortex are exceedingly common in persons suffering from hypertension, whether it is nephritic or what is now termed "essential" hypertension. Thus, Aubertin and Ambard3 found that out of eight cases of hypertension four showed diffuse cortical hyperplasia and three others adenomas of the suprarenal References 1. Neusser: Nothnagel's Spezielle Pathologie und Therapie , Vienna, 18:71, 1898. 2. Vaquez: Tr. Cong. franç. de méd. , 1904, p. 338. 3. Aubertin and Ambard: Bull. et mém. Soc. méd. d. hôp. de Paris 21:175, 1904. 4. Philpot: Quart. J. Med. 3:34, 1909. 5. Wiesel: Verhandl. d. Kongress f. inn. Med. 1907, p. 221. 6. Parkinson: Tr. Path. Soc. London , 58:187, 1907. 7. Schur and Wiesel: Wien. klin. Wchnschr. 20:699, 1907. 8. Ingier and Schmorl: Deutsch. Arch. f. klin. Med. 104:262, 1911. 9. Neubauer: Biochem. Ztschr. 25:284, 1910. 10. Hitzenberger, K., and Richter-Quittner: Wien. Arch. f. inn. Med. 2:2, 1921. 11. Schwab: Virchows Arch. f. path. Anat. 242:1, 1923.Crossref 12. Janeway: Am. J. M. Sc. 145:638, 1913.Crossref 13. Orth: Sitzungb. d. k.- Preussichen Akad. d. Wissensch. 11:34, 1914. 14. Wiesel: Der heutige Stand der Lehre von der Arteriosclerose , Vienna, 1909. 15. Bergstrand: Hygeia, Stockholm 82:321, 1909. 16. Labbé, M.; Tinel, J., and Doumer: Bull. et mém. Soc. méd. d. hôp. de Paris 46:982 ( (June) ) 1922. 17. Thomas: Frankfurt. Ztschr. f. Path. 16:376, 1915. 18. Bland-Sutton, J.: Brit. M. J. 2:593, 1918.Crossref 19. Bullock and Sequeira: Tr. Path. Soc. London , 56:189, 1905. 20. Volhard: Mohr and Staehelin's Handbuch der inneren Medizin , Berlin, 3:1291, 1918. 21. Mackintosh, Ashley: Quart. J. Med. 14: "Proceedings," following p. 308, 1920. 22. Hoag, Lynne: Malignant Hypernephroma in Children , Am. J. Dis. Child. 25:441 ( (June) ) 1923. 23. Mathias: Virchows Arch. f. path. Anat. 236:446, 1922.Crossref 24. The exceedingly high diastolic pressure furnishes a measure of how great the peripheral resistance must have been. (See also the cases of Labbé, Tinel and Doumer and of Mackintosh.) 25. Volhard: Verhandl. d. deutsch. Gesellsch. f. inn. Med. 33:422, 1921. 26. Boehm, quoted by Collett, Arthur: Genito-Suprarenal Syndrome (suprarenal Virilism) in a Girl One and a Half Years Old, with Successful Operation , Am. J. Dis. Child. 27:219 ( (March) ) 1924. 27. Volhard: Verhandl. d. deutsch. Gesellsch. f. inn. Med. 35:138, 1923.
Archives of Internal Medicine – American Medical Association
Published: Nov 1, 1924
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