The Classification of Pulmonary Tuberculosis and An Outline of Standardised Principles of Management

Ever since the time of Hippocrates attempts have been made to classify tuberculosis. Not until the 19th century was a clear clinical division made between acute and chronic forms (Fournet, 1839); later there was a tendency to describe these forms as ‘galloping consumption’ and ‘consumption’; to-day they can be accurately described, not only on clinical grounds, but pathologically, radiologically and pathogenetically as ‘malig nant primary’ and ‘advance secondary’. The first clinico-pathological classification was by Bard (1898, 1927). He described four forms: parenchymatous, interestitial, bronchial, and post-pleuritic. Bard postulated the still valid principle that every form must have ‘per son evolution, son pronostic, sa marche generate, une veritable unite lui.

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