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Macroscopic PRIMARY TB FOCI in the kidneys are unknown in
medical science - they have not been recorded with any available
diagnostic method.
If my studied sample (over 23,000 patients of all age groups) is
sufficiently representative, it would suggest that this is the most
frequent, in vivo visible pathological substrate in the human organism
– 100% positive!
I have described it and named it “THE MEDALLION SIGN”. It is
illustrated by large number of figures included in the book “A new
perspective of renal tuberculosis”.
The foci develop over the first year of life and persist lifelong. They
may remain silent, inactive or, which is more frequent, they may
undergo changes developing upon the process of activation.
All other renal tuberculous changes depend on them and they are
numerous and diverse.
They are also responsible for other pathological conditions in the
kidneys, other parts of the genitourinary tract and adrenal glands,
from early childhood till advanced elderly age. It will be seen in the
future whether they are the source of other pathological conditions of
currently unknown etiology.
As opposed to doctrinally recognized primary tuberculous foci in the
respiratory tract, primary TB foci in the kidneys (always bilateral)
are clearly visible and measurable, their changes may be monitored and
analyzed.
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