TAILIEUCHUNG - The Classification of Pulmonary Tuberculosis and An Outline of Standardised Principles of Management

Ever since the time of Hippocrates attempts have been made to classify tuberculosis. Not until the 19th century was a clear clinical division made between acute and chronic forms (Fournet, 1839); later there was a tendency to describe these forms as ‘galloping consumption’ and ‘consumption’; to-day they can be accurately described, not only on clinical grounds, but pathologically, radiologically and pathogenetically as ‘malig nant primary’ and ‘advance secondary’. The first clinico-pathological classification was by Bard (1898, 1927). He described four forms: parenchymatous, interestitial, bronchial, and post-pleuritic. Bard postulated the still valid principle that every form must have ‘per son evolution, son pronostic, sa marche generate, une veritable unite lui. | The Classification of Pulmonary Tuberculosis and An Outline of Standardised Principles of Management By MILOSHSEKULICH In all science progress is the result only of a series of continuous efforts often ignored or unknown and the pretended discoveries are only the continuation or the consequence of facts acquired but insufficiently known or wrongly interpreted the scientific prospectors are generally isolated often repulsed even at the moment when the ensemble of workers follows them and of ten forgets them. Th. Tuffier Paris trans. Lawrason Brown 1941. Ever since the time of Hippocrates attempts have been made .to. classify tuberculosis. Not until the 19th century was a clear clinical division made between acute and chronic forms Fournet 1839 later there was a tendency to describe these forms as galloping consumption and . consumption to-day they can be accurately described not only on clinical grounds but pathologically radiologically and pathogenetically as malig nant primary and advance secondary . The first clinico-pathological classification was by Bard 1898 1927 . _He described four forms parenchymatous interestitial bronchial and post-pleuritic. Bard postulated the still Valid principle that every form must have per son evolution son pronostic sa marche generate une veritable unite lui conferant la possession d une certain autonomic . This system has survived until the present day but owing to the introduction of numerous morphological sub-forms has become over-elaborated. It remains confusing because it takes no account of pathogenesis. The first pathological classification based on a description of the pathological lesions was. by Albrecht 1907 . The. lesions were divided into three groups 1 indurating cirrhotic healing 2 nodular productive and 3 caseous-pneumonic exudative . Another widely-adopted clinico-pathological classification was that of Turban 1907 . Here .the .basis was the. quantitative extent of the lung lesions .three. stages were .

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