Diseases of the Chest

While tuberculosis is always to be kept in mind in Smith of Ann Arbor, in report ing 23 cases in children up to BY making a diagnosis when a pa* ' «... -^ years of age, found only two tient presents himself with obsDenver Colorado females, while in six years at cure pulmonary or other suggestive signs and symptoms, nevertheless tuberculosis frequently becomes a dumping ground for numerous vague non-tuberculous conditions which assail mankind,and which on careful study and investigation can be properly diagnosed. One of these conditions, arising on account of early cervical glandular enlargement and either early or late pulmonary manifestations, is Hodgkin's disease. This condition was first described by Hodgkins in 1832 and has since been variously designated as lymphogranuloma, psuedo leukemia, lymphosarcoma, malignant lymphoma, splenic anemia, chronic relapsing fever, lymphadenoma and anemia lymphatica. This confusing terminology illustrates the difficulty in arriving at a satisfactory classification of this condition which is considered an infection by some and a neoplasm byothers. The histo-pathology in brief however is more suggestive of a neoplastic than of a granulomatous process. The typical form of the disease is characterized by a slowly progressive enlargement of the lymph glands throughout the system, a progressive secondary anemia, fever, and generally a fatal termination within three to five years.