Amyloid Degeneration of the Liver. 5 1 1 



tartar. Mineral acids, especially nitro-muriatic acid, and bitters 

 may also be given. The preparations of iron are sometimes 

 useful in maintaining the tone of the digestive organs and 

 counteracting anaemia but they must be conjoined with diuretic 

 doses of bicarbonate of soda 



There is great advantage in stimulating the skin, and active 

 brushing, currying, hand-rubbing, and even cold douches may 

 be resorted to. 



AMYLOID DEGEN.ERATION OF THE LIVER. 



Degeneration of basement substance of connective tissue, swollen, trans- 

 parent, homogenous, colored mahogany brown by iodide. In wasting 

 diseases, tubercle, cancer, malaria, dysentery, leukaemia, suppuration, 

 ulceration, pleurisy, pericarditis, peritonitis, chronic catarrh, broncho- 

 pneumonia, orchitis, biliary calculi, nephritis. Chronic. Lesions : Affected 

 part swollen, sinks in water, bloodless, clear, smooth, homogeneous, yellowish 

 or reddish gray, tinder compound solution of iodine become.s mahogany 

 brown, under sulphuric acid dark violet. Extends from vessel walls to 

 adjacent connective tissue. Symptoms : Of wasting diseases, but not 

 diagnostic. Treatment : Unsatisfactory, directed to causative disease. 



This is a condition in which the basement substance of the 

 connective tissue, and especially of the walls of the vessels, be- 

 comes swollen and composed of a transparent, homogeneous sub- 

 stance, albuminous in character, and which stains of a deep 

 mahogany brown on the application of a .solution of iodine. 

 The degeneration is usually a.ssociated with severe wasting dis- 

 eases, in the human being with tuberculosis, syphilis, malignant 

 tumors, malarial infection, dysentery, leukaemia, and chronic 

 suppuration or ulceration, especially of the bones. 



In t\i& lower animals {hors&, dog, ox, sheep, rabbit, poultry) 

 it has been seen to attend or follow on similar cachectic condi- 

 tions. In the horse it has been .seen in connection with the 

 effusions of pleurisy, pericarditis and peritonitis (Rabe), in 

 chronic bronchial catarrh (Fischkin), in chronic broncho-pneu- 

 monia, and dilated right heart (Trasbot), in orchitis, phlebitis 

 and cachectic states (Caparini), and in calculous obstruction of 

 the biliary duct (Burgoin). In cattle it has accompanied chrotiic 



