However remote the connection may appear to be between milk and the results of chronic adrenal insufficiency from primary disease or atrophy of the adrenal glands, first described by Thomas Addison in 1855, recent trends have demonstrated that milk was indirectly responsible for many cases of the disease. Up to the period 1945–50, by far the commonest cause of Addison's Disease was tuberculosis and destruction of the adrenals was usually complete. Their infection was mostly secondary to pulmonary infection or some other primary site. At necropsy, typical tuberculous growths were usually found; necrotic, caseating masses, with thick fibrous capsule, and calcification. This was before the results of the clean milk campaigns of the twenties and thirties could be seen; before the steady rise in the consumption of pasteurised milk. Milkborne tuberculosis was commonplace—tuberculous lymphadenopathy, bones and joint disease and abdominal tuberculosis.
CitationDownload as .RIS
MCB UP Ltd
Copyright © 1963, MCB UP Limited