In their introduction, Gull and Sutton point out that Dr . Bright and others " have fully recognised that the granular contracted kidney is usually associated with morbid changes in other organs of the body " and that these co-existent changes were commonly grouped together and termed " chronic Bright's disease . " The prevailing opinion at the time was that the kidney was the organ primarily affected, inducing a condition that would spread to other parts of the body and thereby cause other organs to suffer.
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