0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

SUPRARENAL CORTICAL INSUFFICIENCY AND CYTOTOXIC CONTRACTION OF THE SUPRARENALS

OTTO SAPHIR, M.D.; HERBERT F. BINSWANGER, M.D.
JAMA. 1930;95(14):1007-1011. doi:10.1001/jama.1930.02720140029007.
Text Size: A A A
Published online

A disease of the suprarenals exists which is even rarer than tuberculosis of the suprarenals and may cause a clinical syndrome closely resembling Addison's disease. This disease is most commonly spoken of as atrophy of the suprarenal glands.1 Brenner2 calls it atrophy of the cortex; Roessle,3 inflammatory atrophy. The use of such terms as "essential adrenal insufficiency"4 signifies that the nature of this disease is not fully understood. In reviewing the literature, one gains the impression that there are apparently two entirely different diseases of the suprarenals leading to end stages which, on superficial examination at least, are confusing. Kovacs5 and more recently Omelskyj6 have differentiated strictly between changes purely inflammatory in nature and primary degenerative changes leading to necrosis and disappearance of the cortical cells. The inflammatory lesions of the suprarenals involve both the cortex and the medulla and are often brought about

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();