Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . ls. —Paroichymatons andfatty degenerations have been described, but little is known of their etiology or former is frequently observed in infectious processes. Hemorrhage into the suprarenals/ or the adjacent fat, may resultfrom trauma and is sunietimes seen m intense congestion. It is particu-larly frequent in the new-born and in children. Toxic conditions,congenital syphilis, septicemia, pyemia, and gastro-intestinal infectionsproving fatal, are often associated with hemo


Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . ls. —Paroichymatons andfatty degenerations have been described, but little is known of their etiology or former is frequently observed in infectious processes. Hemorrhage into the suprarenals/ or the adjacent fat, may resultfrom trauma and is sunietimes seen m intense congestion. It is particu-larly frequent in the new-born and in children. Toxic conditions,congenital syphilis, septicemia, pyemia, and gastro-intestinal infectionsproving fatal, are often associated with hemorrhagic inhltration of thesuprarenal. It is not known how these conditions induce the hemor-rhage; it has been suggested that they act by altering the endo-thelium of the ca[)illaries. The condition is also called suprarenalapoplexy and is sometimes seen after severe burns, in which case it isapparently due to the accompanying toxemia. It may be diffuse or In addition to Marchetti and Karakascheff. see also Dudgeon. Amer. Jour,of Med. Sci. Jan., 1904, p. 134, and Langmead. Lancet. May 28. 1904, p. 384.—Section Lntimately .\ttachkd to thk Capsulk of the Livek. .1. A. Capsule of Gliss*jn. B, B. Zona glomcrulosa. C, C. 2k)na fasciculala. D, D. Zona reticulata. E, E. Peritoneal surface. 786 SPECIAL PATHOLOGY. punctate, and sometimes forms a distinct hematoma. The changesresulting from the hemorrhage are not understood. It is possible thatchronic fibroid induration or cyst formation sometimes results from thehemorrhage. Inflammation of the suprarenal may assume an acute or a chronictype. Of the acute form but little is known, with the exception of an oc-casional suppurative lesion secondary to infection by means of the bloodor involvement as a result of the extension of infection from adjacentsuppurative processes. In the chronic form induration of the glandoccurs, brought about by the production of new fibrous tissue; the lesionis, therefore, comparable to the chro


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