0
ARTICLE |

THE RENAL LESIONS IN EXTENSIVE CUTANEOUS BURNS

P. C. MARTINEAU, M.D.; F. W. HARTMAN, M.D.
JAMA. 1947;134(5):429-436. doi:10.1001/jama.1947.02880220013003.
Text Size: A A A
Published online

The literature dealing with the pathologic anatomy of the kidneys following severe cutaneous burns is extensive. Descriptions of the gross lesions were published by Cumin1 in 1823 and by Long2 in 1840, but these are chiefly of historical interest. The modern concept of the renal changes associated with burns began with Wertheim's3 description in 1867 of his findings in dogs, supplemented in 1868 by study of a severely burned patient. Utilizing the observations of Schultze4 (1865) on the degenerative changes in red blood cells on a heated microscopic stage, Wertheim described crystals of blood pigment in the renal tubules in both his experimental animals and patients. The parenchymatous changes he referred to as a form of "Bright's kidney."

The presence of hemoglobin in the renal tubules after severe burns was confirmed by Ponfick5 (1876), Fraenkel6 (1889) and others. Ponfick also described "intensive congestion of

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
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.
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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

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

Sign In to Access Full Content

Related Content

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

Jobs
brightcove.createExperiences();