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 causes.[1][2][3]

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

Contents

[edit] Symptoms

These common symptoms of kidney disease were first described in 1827 by noted English physician Richard Bright.[4] It is now known that the symptoms accompany various morbid kidney conditions.[5] Thus, the term Bright's disease is retained strictly for historical application.[6]

The symptoms are usually severe. 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 very common. Urine is reduced in quantity, is of dark, smoky or bloody color, and has higher levels of albumin (albuminuria). Under the microscope, blood corpuscles and urinary casts 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.

[edit] 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.

[edit] Well-known victims of Bright's disease

[edit] References

  1. ^ Cameron JS (October 1972). "Bright's disease today: the pathogenesis and treatment of glomerulonephritis--I". British medical journal 4 (5832): 87–90 contd. PMID 4562073. 
  2. ^ Cameron JS (October 1972). "Bright's disease today: the pathogenesis and treatment of glomerulonephritis. II". British medical journal 4 (5833): 160–3 contd. PMID 4263317. 
  3. ^ Cameron JS (October 1972). "Bright's disease today: the pathogenesis and treatment of glomerulonephritis. 3". British medical journal 4 (5834): 217–20. PMID 4563134. 
  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. 
  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. http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file=ajn22596. 
  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 p. 215.
  8. ^ Smith, P. David. Ouray - Chief of the Utes. Ridgway, Colorado: Wayfinder Press, 1990.
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