The Journal of laboratory and clinical medicine . Iig. 8. Adrenal, infiltration in medulla with Fig. 9. Adrenal, high power, showing infiltration in medulla. Fig. 10. .\drcnal, clironiaffiiiic tissue associated witi)rouiul-cellcd infiltration in the medulla. 226 The Journal of Laboratory and Clinical Medicine ular tissue are left, and they, probably in an effort to compensate for the em-barrassed glandular function, have taken on abnormal appearances. No thy-roid ever examined by the writer has ever presented this picture. It is not thepicture of any of the well recognized types of


The Journal of laboratory and clinical medicine . Iig. 8. Adrenal, infiltration in medulla with Fig. 9. Adrenal, high power, showing infiltration in medulla. Fig. 10. .\drcnal, clironiaffiiiic tissue associated witi)rouiul-cellcd infiltration in the medulla. 226 The Journal of Laboratory and Clinical Medicine ular tissue are left, and they, probably in an effort to compensate for the em-barrassed glandular function, have taken on abnormal appearances. No thy-roid ever examined by the writer has ever presented this picture. It is not thepicture of any of the well recognized types of thyroid disease. The round-celledinfiltration consists almost entirely of lymphocytes but plasma cells are occa-sionally found. The picture suggests not so much an infective process asthe reaction to some chronic intoxication with gradual destruction of the glandby the inflammatorv reaction, inasmuch as the usual picture of an infective typeof inflammation is absent, and we get rather the idea of a diffuse sclerosis dueto some diffused chemical irritant, than of infection w ith its focalized manifesta


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Keywords: ., bookcentury1900, bookdecade1910, booksubject, booksubjectmedicine