In the last paper, the authors made a comparative study on the relationship between clinical conditions of the development of tuberculosis and the eosinopenic response, especially, in the reference to the latter, and deduced therefrom that in very severe cases, the functions of adrenocortex fall, so that the eosinopenic response becomes weak. However, based on the eosinopenic response alone may not enough, although it may be clinically easy and convenient In the present study, the authors examined 45 tuberculosis cases, from the viewpoint of endocrinology, the eosinopenic response, uric acid creatinine ratio, and urinary 17-ketosteroid and also the Robinson-Kepler-Power test was conducted, whereby the results in their relation to the clinical conditions were analysed.
As for the urinary 17-ketosteroid, not only its total quantity of excretion for 24 hours, but also the quantity of increase in 17-ketosteroid-creatinine ratio and 17-ketosterold were investigated. As to the method of ‘storess’, ACTH method of intravenous injection was conducted.
Results were analysed by stochastic method. The results were as follows:
1) Risk of stochastic error being less than 5%, the esinopenic response in serious cases of tuberculosis did not exceed 50%.
2) In the comparison without discrimination of the level of eosinopenic response, according to different conditions of tuberculosis, on the condition that eosinopenic response is less than 50%, no remarkable difference was found between slight and moderate TB cases, however, serious cases showed low eosinopenic response. The risk of stochastic error in this case did not exceed 5%.
3) As for uric-acid creatinine ratio, stochastically accurate conclusion was not obtained
Both the eosinopenic response and uric-acid creatinine ratio are considered to be the signs of albumin-water metabolism in adrenocortex functions, however, according to these results, the former seems to be more proportional to, and responsible for the clinical conditions of tuberculosis than the latter.
4) As for urinary 17-ketosteroid, the total quantity of the excretion for 24 hours in serious TB did not exceed 5mg. Besides, Bolinger's ‘17-ketosteroid creatinine ratio’ failed to gave results in our experiments. As for quantity of increasein 17-ketosteroid, no remarkable results were obtained.
5) In the R-K-P test, two cases out of the 45 cases were of positive reaction. Incidentally the two cases were severe cases. From these results, it may be stated that water metabclism in severe TB is impaired (risk of stochastic error being less than 5%)
6) Putting together the results of various tests on he functions of adrenocortex, and considering the relationship with the clinical conditions of TB, the following conclusion is stated:
In case of severe TB, various functions of adrenocortex are impairid badly, in a number of ways.
抄録全体を表示