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dc.contributor.authorMook-Sang, S. T.en
dc.date.accessioned2019-02-15T14:37:53Z
dc.date.available2019-02-15T14:37:53Z
dc.date.issued1932en
dc.identifier.urihttp://hdl.handle.net/1842/35393
dc.description.abstracten
dc.description.abstract1. Asthma is a comparatively common disease in British Guiana. 2. Clinically, asthma can be divided into two types, one termed primary for convenience and in which there is usually a family history of asthma, hay fever or allergic manifestations such as eczema, urticaria, cyclic vomiting or migraine. This type usually begins in childhood. The other, termed "secondary ", usually follows some respiratory affection e.g. measles, whooping cough, bronchitis or pneumonia and usually starts in later life. Oriel and Knott have found in these two types (38) (39) biochemical differences which tend to support this clinical differentiation. 3. In the diagnosis and treatment of the condition, Ascaris lumbricoides infection must be kept in mind and stool examination for eggs of this helminth should be practised as a routine in all cases of asthma in the tropics if only to exclude this condition. 4. A number of factors probably operate in the production of this malady. The one constant factor appears to be an inherited diathesis or predisposition, though in some cases this predisposition may be acquired. Other factors such as allergy, toxaemia, reflex irritation, psychical disturbances, biochemical changes and endocrine disturbances all may play their role in the production of this distressing disease. Only time and experience will determine the relative merits of each. 5. Early treatment is of the greatest importance. 6. No one treatment is applicable to every case of asthma. Each case requires thorough investigation and individual treatment. 7. The most successful form of therapy is by elimination, when applicable. 8. If the specific cause cannot be eliminated or avoided, specific desensitisation should be attempted. 9. If the specific cause cannot be determined, recourse must be had to non-specific desensitisation with peptone, milk, tuberculin or vaccines. It is always worth while trying different forms of treatment since in many cases where one form of therapy fails another may succeed. 10. Psycho-analysis and endocrine therapy may be indicated in individual cases. 11. In adults, arsenic in the form of neo-arsenobillon intravenously the author has found of benefit and often succeeds where other methods of treatment fail.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2019 Block 22en
dc.relation.isreferencedbyen
dc.titlePresent day views of asthma: with special reference to etiology and treatment and including an analysis of 117 casesen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnameMD Doctor of Medicineen


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