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DOC 0000017443
Page 361
361 / 419
riMOAteld aad eolltga
that w are dlteuilai it « dtpoljairliattoB
of
with leakage and hydration of the ground' anbetanee with NMainy
less of collagen fibrils* _laut**poaoe. to the hydration of tha ground ad)
tht cooatctlfB tissue cells prolifcrate and enddbvta to the ladioff Vodlei.
(which at first costala only liberated endothelial ealla fro* destroyed eapll-
larle*} aad fora rfceanatold nodulse,
-which art so eharacteristio of tbo
rheunatold state*
Slace the baseoeat nenbrane U the prlnarlly affected
structure aad. this la composed of condensed ground substance aad retieulla
fibers aad sot of the aore highly differentiated collagen fibers, the tar* eoL»
lags* disease does net describe the prinavy process*
The flhrlaoid degeneration
otwmd la a eoagolu* of the ground substance aad
it substance*
the
endothelial aggregates*, which previously have been neglected, arsrprevided by
separation, of the endothelial eells fro* altered or dissolved capillaries.
a*dotfc*li*l proliferation and fibroeytlc proliferation both contribute to the
formation of the Aschoff body aad are both secondary to the freeing of these
fined cells which cons to lie free in a fluid natrlx* vbloh is aoetly blood
plasna and partly hydrated ceaent substance aad natrix*
Shore
is good reason to bolieve that the general adaptation syndrone of
Ssiye
,
in vhich the adrenal caftex plays the dominant role, serves as a
co-defensive nechanisxt both in local tieene dosage and In the inomnologicel
responses of the reticuloendothelial spates »
Sayers* believes that products
of tissue damage following severe injury combine with cortical homonos in the
peripheral tissues, and with the resultant fall in their concentration in
the venous blood*
this noraal chech on the adenohypophysis is released and
the pituitary responds by increased secretion of ACTS*
This resultant
Increase in the output of ACTS depletes the adrenal cortex of its horaonae
and stimulates additional homone production.
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