AMYLOID KIDNEY. LARDACEOUS OR WAXY KIDNEY.

This condition of the kidney has been found in the ox (Gerlach) and dog

(Rabe, etc.). There are usually similar degenerative lesions in the

liver, pancreas, intestines and other organs. It is usually a

concomitant of some chronic wasting disease (chronic nephritis,

tuberculosis, etc.).

_Morbid Anatomy._ The kidney is usually enlarged, pale and on section

waxy or glistening. Soaked in dilute compound tincture of iodine it

shows spots of a walnut or mahogany brown color. The glomeruli are well

marked and show the earlier changes, later the tubes do so excepting the

epithelium. The latter is swollen, granular, fatty.

_Symptoms._ There may have been those of chronic nephritis. Rabe has

noticed in dogs dropsy of the limbs, ascites, emaciation, anorexia,

followed by uræmia, coma, weakness, vomiting, and if the kidney alone

was affected great lowering of temperature (35.9°C). With hepatic

complication there was greater weakness, giddiness, and higher

temperature (39.6°C). Urine is usually increased (in man albuminous) and

the casts have shown the anyloid reaction. They tend to be fatty or

finely granular. Casts may, however, show anyloid reaction when the

kidney, post mortem, does not (Jaksch).

_Diagnosis_ from Bright’s disease is often impossible.

_Treatment_ is essentially the same as in chronic nephritis, and is not

hopeful.

Trasbot recommends KI 3 to 7 grs., or tinct of iodine 3 drops for

shepherd dog. Ol. terebinth and alkaline diuretics are also commended.

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