Abstract
A few researches have been made on the relation of the tonsil and the liver function in tonsillar focal infection, although there have been several reports of study on kidney, heart and rheumatism. Liver function in 100 patients with chronic tonsillitis was examined and compared with those of control group consisting of 32 cases. Likewise the tonsils in 42 cases with liver disease were observed in regard of their particularities. In 26.0% of the 100 cases slight latent dysfunction of the liver was observed, which This was seen somewhat more frequently in the male patients than females. The results of the tests on the liver function were as follows: Takata's reaction R0-R3, Gros's reaction 1.83cc, sublimate reaction 0.96cc, GCF (-)∼(*), bilirubin in serum 4.8 unit, BSP test 4.6%, bilirubin in urine 0∼1.0mg/dl, urobilin test (-)∼(*), urobilinogen content 0.28mg/dI, hippuric acid test 56.75%, Milon's test (-)∼ (+). The dysfunction of the liver was remarkable among the younger patients from 21 to 30 years of age and also in the cases with flat type tonsils without protrusion, but those were not specific. Likewise the dysfunction was observed more frequently in such "cases that had hod short history but frequent attacks of tonsillitis. Exuretion of foreign bodies and defoxification function of theliver were remarkably affected. Chronic tonsillitis was seen 73.8 of the patients with liver diseases and 57.1% in the control group, showing no statistical significance. The inflammatory changes of the tonsils were also not remarkable. No specific relationbetween the liver disease and chronic tonsillitis was odserved. It is pressumed from previousliteratures and experimental results that the pathogenesis of such dysfunction of the liver consists in an allergic reaction against antigens from achronic tonsillar focus, and that a neurovegetative disturbance by chronic tonsillitis and a neurohormonal idiosyncrasy also participate in producing such the change in the liver function, conjointly with the allergy.
