On the Pathology of the Morbid State Commonly Called Chronic Bright's Disease with Contracted Kidney. (“Arterio-Capillary Fibrosis.”)

DR. B}RIGHT and subsequent pathologists have fully recog- nised that the granular contracted kidney is usually associated with morbid changes in other organs of the body.The disease in the kidney and the coexistent morbid changes are commonly grouped together and collectively termed "chronic Bright's disease."In this communication we propose to consider the pathology of this morbid condition.We are induced to do this because our observations tend to show that the present prevailing pathological theories do not fully comprehend the whole history of the disease.It is, we believe, generally assumed that the kidney is the organ primarily affected, and in consequence a cachexia is induced through which other organs subsequently suiffer an d VOL.LV.