The Lung as a Mirror of Systemic Disease.

David W. Cugell, M.D.
AMA Arch Intern Med. 1957;99(1):158-159. doi:10.1001/archinte.1957.00260010160027.
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This book will benefit anyone concerned with internal medicine in general or the chest in particular, but only "reflects" a small segment of each of the numerous systemic diseases which involve the lung. This limitation may not be evident from the title but is apparent to Dr. Rubin. In the brief preface he states, "... the chest x-ray, the keystone of diagnosis of pulmonary disease, is a window not a portrait, and often mirrors passing events." Dr. Rubin has made a significant contribution by emphasizing the usefulness of this "window" and by categorizing what he sees therein.

A major difficulty in creating a text of this type is classifying the subject matter. For example, should the pulmonary manifestations be grouped according to their appearance and the diseases which they represent fitted in accordingly, or should the systemic diseases be classified on some basis and their individual pulmonary manifestations recorded? Dr. Rubin


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