SUBCLINICAL PULMONARY TUBERCULOSIS; A PRESENTATION OF FORTY CASES
Authors: R. H. Stiehm
Journal: Annals of Internal Medicine (1940)

Article1 June 1940SUBCLINICAL PULMONARY TUBERCULOSIS; A PRESENTATION OF FORTY CASESR. H. STIEHM, M.D.R. H. STIEHM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-13-12-2285 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe individual destined to develop pulmonary tuberculosis will in most instances have it diagnosed no earlier today than years ago. Though the death rate continues to show a yearly drop, evidence indicates that this favorable occurrence has resulted from factors other than an early diagnosis.1, 2, 3Efforts in the past have been directed primarily toward studying disease in its later stages as it occurs at the bedside, when symptoms and physical signs have made their appearance, and later, unfortunately, in a still more advanced stage, at the postmortem table. Relatively little is known at present of subclinical disease, of...Bibliography1. DROLET GJ: Tuberculosis hospitalization (Abstract), Nat. Tuberc. Assoc. Trans., 1926, xxii, 327-332. (Minimal, 16 per cent; mod. advanced, 34 per cent; far advanced, 50 per cent.) Google Scholar2. WHITNEY JS: Bull. Nat. Tuberc. Assoc., 1933, p. 24. (Minimal, 16 per cent; mod. advanced, 30 per cent; far advanced, 54 per cent.) Google Scholar3. : Survey of tuberculosis hospitals and sanatoriums in the United States, Jr. Am. Med. Assoc., 1935, cv, 1855-1915. (Minimal, 13 per cent; mod. advanced, 30 per cent; far advanced, 57 per cent.) Google Scholar4. MCCARTERGETZSTIEHM JHRRH: A comparison of intracutaneous reactions in man to purified protein derivatives of several species of acid-fast bacteria, Am. Jr. Med. Sci., 1938, cxcv, 479-493. CrossrefGoogle Scholar5. LUMSDENDEARINGBROWN LLWPRA: Questionable value of skin testing—as means of establishing epidemiological index of tuberculous infection, Am. Jr. Pub. Health, 1939, xxix, 25-34. CrossrefGoogle Scholar6. STIEHM RH: Tubercle bacilli in gastric contents—an important diagnostic and prognostic finding, Am. Jr. Med. Sci., 1937, cxciv, 340-344. A review of a five-year tuberculosis program among University of Wisconsin students, Am. Jr. Med. Sci., 1939, cxcv, 517-533. CrossrefGoogle Scholar7. CUTLER JW: Graphic method for blood sedimentation test; presentation of 1-c.c. technique and other important modifications and suggestions, Am. Rev. Tuberc., 1929, xix, 544-558. Google Scholar8. MEDLAR EM: Evaluation of the leucocytic reaction in blood as found in cases of tuberculosis, Am. Rev. Tuberc., 1929, xx, 312-346. Google Scholar9. CRAWFORD AM: Further studies on pathological significance of leucocytic reaction in tuberculosis; presentation of leucocytic index with calculator to facilitate its computation, Am. Rev. Tuberc., 1935, xxxi, 611-620. Google Scholar10. MEDLAR EM: Further studies on pathological significance of leucocytic reaction in tuberculosis; presentation of pathological concept through use of leucocytic index in selected groups of tuberculous cases, Am. Rev. Tuberc., 1935, xxxi, 621-627. Google Scholar11. BLACKFANDIAMOND KDLK: Monocyte in active tuberculosis; supravital studies of blood, Am. Jr. Dis. Child., 1929, xxxvii, 233-243. Google Scholar12. CUNNINGHAMSABINSUGIJAMAKINDWALL RSFRSJA: Rôle of the monocyte in tuberculosis, Bull. Johns Hopkins Hosp., 1925, xxxvii, 231-280. Google Scholar13. WEBBGILBERTNEWMAN GBGBJA: Lymphocyte index in tuberculosis, Am. Rev. Tuberc., 1923, vi, 1073-1077. Google Scholar14. MEDLAR EM: Further studies on pathological significance of leucocytic reaction in tuberculosis; test of validity of pathological interpretation placed upon leucocytic reaction, Am. Rev. Tuberc., 1935, xxxi, 642-657. Google Scholar15. MYERSDIEHLBOYNTONTRACH JAHSREB: Development of tuberculosis in adult life, Arch. Int. Med., 1937, lix, 1-31. CrossrefGoogle Scholar16. MYERS JA: The physician and tuberculosis, Jr. Am. Med. Assoc., 1939, cxiii, 189-194. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Madison, Wisconsin*Received for publication November 24, 1939.I wish to express my appreciation to Miss Ethel Thewlis, Dr. Gertrude Stewart, and Miss Thekla Klatt for having done the total and differential leukocyte counts in this study. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1940Volume 13, Issue 12Page: 2285-2305KeywordsDeath ratesSigns and symptoms ePublished: 1 December 2008 Issue Published: 1 June 1940 PDF downloadLoading ...