Cunningham's Manual of Practical Anatomy
نویسندگان
چکیده
TH S is an important and useful attempt to clarify one of the most unsatisfactory and difficult aspects of morphological pathology. Of great value to the pathologist, it will also inform neurologists and physicians of the place and limitations of biopsy diagnosis. As the authors point out, much difficulty is caused by the use of terms, such as necrosis, degeneration, and(i inflammation, whiclh, when applied to muscle, have no clear or generally accepted meaninlg. The first ten clhapters are therefore devoted to a purely objective descriptionof the histopathological changes seen witlh ordinary techniques in muscle. These are illustrated by photo-micrographs in botlh colour anid monochrome, which, with very few exceptions, do really advance the descriptions. In the second part the authors attempt to describe witlh what clinical entities the reactions are associated. Avoiding such terms as myopathy, myositis, and muscular dystrophy, which have v,ariable definitions, they recognize distal muscular syndromes of definite and possible neurogenic basis, myotonic syndromes, including dystrophia myotonica, myotonia congenita, and para-myotonica congenita, proximal muscle syndromes which include many cases now designated myositis and muscular dystrophy, and finally myasthenia gravis. They are forced to conclude that no single change has been found specific for any disease, and even combinations of changes are no more than highly suggestive. It is evident that nothing useful will result from muscle biopsies unless both physicians and pathologists appreciate the limitations and the need for correlation of clinical and histological observations. In all such studies this book will be a useful guide. J. E. M.
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عنوان ژورنال:
- The Ulster Medical Journal
دوره 26 شماره
صفحات -
تاریخ انتشار 1957