Abstract
1) Figures of X. P. of the disease even of the same patient are very changeable, because the inflammation itself is very passing. However, the most characteristic figure seemes to be caused by athelectasis of the broncho-pulmonary segments or subsegments, particularly of S4, S5, S7, and S8.
2) Remarkable accelerasion of red cells sedimentation rate is characteristic at the biginning of the disease.
3) Numbers of leucocytes seem to increase merely in the biginning, without mixing infection. The classification of the leucocytes depends chiefly upon the stadium of the progressing disease as in general case of inflammation. Vice versa we can infer the stadium of the disease by these classification, case by case. These give us important scales, with which we can judge the true clinical and pathological meanings of the other symptomes of the impending patients.
4) C. R. of serum is the most important test for P. A. P. But the titer of aggultinin seemes to be low at the beginning and then increase gradually, but inconstantly. Average rate of positivity is 50-60%.
5) The idea of C. R. -suppression-test with sputum or gargle water by Dr. Fukushi is adequate for clinical test. So I tested this on many cases and proved the usefullness of it, specially in the biginning stadium of the disease. But this test together with the C. R. -test of serum showed the highest rate of positivity e. g. 92.3-77.0%
6) As far as virus, already known, of respiratory tract are concerned, I obtained no noteworthy results by seru-reaction.
7) Some X. P. -figures of so called rheumatoid feber resemble to those of P. A. P. So I tested ASLO-reaction on some cases of P. A. P. and found positive cases in 15.8%, which were also C. R. positive.
8) In practice we must take care not to mistake rather than to correct diagnosis of P. A. P. The most serious failures are made frequently about tuberculosis. This may be attributed to the fact that we have not yet a reliable test method of proceeding tuberculosis. C. B. R. with dried antigen of tbc. bac. by Nishimura seemes worthy to be tested.
