Eclampsia: its association with thyroid inadequacy: case of pregnancy in a woman suffering from myxoedema
In discussing eclampsia, it is well to note that people are not even agreed as to what ought to be defined as eclampsia. The reason is not far to seek. So far as we know there is no exact pathological cause agreed upon by everyone as the always present determining lesion.I shall take as my definition "The occurrence of epilepti-form fits during pregnancy, labour or puerperium, with the presence of albumin in the urine"Cases are recorded where no albumin has been present and still classified as eclampsia. It is doubtful if these cases ought not to have come under a different heading, e.g. cases of epilepsy; or the albumin might have been so small in quantity as to be overlooked.n the first part of this thesis I shall deal with the pathological appearances of the different organs in eclampsia, referring incidentally to theories advanced explaining the different lesions.Until recently the kidney received most attention as being the prime factor in eclampsia, but with more recent observations it has become evident that the kidney is only one of the many organs showing changes in this obscure disease.Unfortunately autopsies on subjects dying fro eclampsia have not been very frequently carried out in this country, but from those which have been done, and from reference to others, fairly definite appearances are noted.