Some Newer Aspects in the Problem of Essential Hypertension
Authors: Norman M. Keith, James W. Kernohan
Journal: Annals of Internal Medicine (1930)

Article1 September 1930Some Newer Aspects in the Problem of Essential HypertensionNORMAN M. KEITH, M.D., JAMES W. KERNOHAN, M.B.NORMAN M. KEITH, M.D.Search for more papers by this author, JAMES W. KERNOHAN, M.B.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-4-3-217 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptBright, 100 years ago, showed that there was a relationship between pathologic changes in the kidney and diffuse vascular disease. Forty years later, Johnson, Gull, and Sutton demonstrated in cases similar to those cited by Bright that there might also be injury to the peripheral vessels including the arterioles. Thirty-five years ago Allbutt showed clinically and pathologically that diffuse vascular disease with hypertension, without renal lesions, and without gross peripheral vascular lesions, could exist.Since that time, of course, many observers have wondered as to the cause of hypertension, and there have been theories that the thyroid gland and the...Bibliography1 ALLBUTT C: Senile Plethora or High Arterial Pressure in Elderly Persons. Abstr.: Tr. Hunterian Soc., 38-57, 1895-1896. Google Scholar2 BRIGHT R: Cases and Observations Illustrative of Renal Disease Accompanied with the Secretion of Albuminous Urine. Guy's Hosp. Rep. 1:338-400, 1836. Google Scholar3 GULLSULTON WWHG: On the Pathology of the Morbid State Commonly Called "Chronic Bright's Disease with Contracted Kidney." Tr. Medico-Chir. Soc. London, 55:273-326, 1872. CrossrefMedlineGoogle Scholar4 JOHNSON G: On Certain Points in the Anatomy and Pathology of Bright's Disease of the Kidney; and Secondly, on the Influence of the Minute Blood-Vessels upon the Circulation. Tr. Medico-Chir. Soc. London, 51:57-78, 1886. Google Scholar5 KEITHWAGENERKERNOHAN NMHPJW: The Syndrome of Malignant Hypertension. Arch. Int. Med. 41:141-188 (Feb.), 1928. CrossrefGoogle Scholar6 KERNOHANANDERSONKEITH JWEWNM: The Arterioles in Cases of Hypertension. Arch. Int. Med. 44:395-423 (Sept.), 1929. CrossrefGoogle Scholar7 LABBETINELDOUMER MJ: Suprarenal Tumor. Bull. et. mém. Soc. méd. d. hôp. de Par. 46:982-990 (June 23), 1922. Google Scholar8 MAYO CH: Paroxysmal Hypertension with Tumor of Retroperitoneal Nerve; Report of Case. Jour. Am. Med. Assn. 89:1047-1050 (Sept. 24), 1927. CrossrefGoogle Scholar9 OPPENHEIMERFISHBERG BSAM: The Association of Hypertension with Suprarenal Tumors. Arch. Int. Med. 34:631-644 (Nov.), 1924. CrossrefGoogle Scholar10 PINCOFFS MC: A Case of Paroxysmal Hypertension Associated with Suprarenal Tumor. Tr. Assn. Am. Phys. 44:295-299, 1929. Google Scholar11 PORTERPORTER MFMF: A Report of a Case of Paroxysmal Hypertension Cured by Removal of Adrenal Tumor. Surg., Gynec., and Obst. 50:160-162 (Jan.), 1930. Google Scholar12 WAGENER HP: Retinal Vascular Changes in Hypertension. Ann. Int. Med. (in press). Google Scholar13 WOLTMANSHELDEN HWWD: Neurologic Complications Associated with Congenital Stenosis of the Isthmus of the Aorta; a Case of Cerebral Aneurysm with Rupture, and a Case of Intermittent Lameness Presumably Related to Stenosis of the Isthmus. Arch. Neurol. and Psychiat. 17:303-316 (Mar.), 1927. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: NORMAN M. KEITH, M.D.; JAMES W. KERNOHAN, M.B.Affiliations: Section on Pathologic Anatomy The Mayo Clinic Rochester, Minnesota*Read before the American College of Physicians, Minneapolis, Minnesota, February 11, 1930. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 September 1930Volume 4, Issue 3 Page: 217-221 Keywords Arterioles Hypertension Lesions Renal diseases Thyroid Vascular diseases ePublished: 1 December 2008 Issue Published: 1 September 1930 PDF downloadLoading ...