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by Hench and his co-workers (4) of the use of cortisone and ACTH in rheumatoid arthritis, and the subsequent application by others to numerous, wholly unrelated disease states ranging from severe burns to gout, clinical trials of the materials in infectious diseases were inevitable. The first reports of their usc in pneumonia, by Finland and his collaborators (5), aroused widespread interest. These workers described the effects of ACTH on the course of acute pneumococcal pneu monia and primary atypical pneumonia; in each case there occurred a rapid and apparently beneficial response, with defervescence of fever and clear cut improvement in the symptoms and signs of the disease. In each instance, The survey of the literature pertaining to this review was concluded in Septem ber, Professor of Pediatrics and Medicine, American Legion Memorial Research Professor. THOMAS however, there was a conspicuous discrepancy; the patient with pneumococ cal pneumonia was found to have bacteremia during a two day period after ACTH had apparently improved his state, and the patient with primary atypical pneumonia resumed the typical course of her disease as ·soon as ACTH was stopped. The therapeutic effect of cortisone in typhoid fever was studied by Smadel (6), Woodward
Annual Review of Medicine – Annual Reviews
Published: Feb 1, 1952
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