OSCAR BERGHAUSEN, B.A., M.D.
Purpura hemorrhagica is frequently accompanied by changes in the kidney and the suprarenal glands. The kidney may show evidences of hemorrhagic nephritis or only slight degenerative changes in the tubular epithelium with numerous foci of intertubular and intratubular hemorrhage. Little1 cites four cases in infants and young children with hemorrhage into both suprarenal capsules proving rapidly fatal, and in which purpura was noted before death. At the post-mortem the chief finding was the hemorrhage into the capsules, the kidneys showing no changes beyond occasional hemorrhages. He also cites two very remarkable cases in which there was hemorrhage into both suprarenal
BERGHAUSEN O. Fatal Purpura Complicating Chronic Interstitial Nephritis1. Ann Intern Med. ;3:578–585. doi: 10.7326/0003-4819-3-6-578
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Published: Ann Intern Med. 1929;3(6):578-585.
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