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Clinical Aspects of Albumin (Paperback, Softcover reprint of the original 1st ed. 1978)
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Clinical Aspects of Albumin (Paperback, Softcover reprint of the original 1st ed. 1978)
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Albumin is the most abundant serum protein produced by the liver.
In clinical practice the serum level of albumin continues to be
used as an important marker of the presence, progress or ofthe
improvement of many diseases, even though it is the complex end
result of synthesis, degradation a. nd distribution between intra-
and extravascular space. The clinical history of albumin began as
early as in 1837, when Ancell first recognized "albumen" and noted
that this protein is needed for trans port functions, for
maintaining fluidity of the vascular system and for the prevention
of edema. However, the important physiological properties of serum
proteins and their role in the regulation ofthe oncotic pressure
were demonstrated later by the physiologist E. H. Starling in 1895.
In 1917 the clinician A. A. Epstein first described the edema in
patients with the nephro tic syndrome as being a result of a very
low level of serum albumin. Al though the determination of serum
albumin concentration became more popular after Howe in 1921
introduced the technique of separation of serum globulins from
albumin by sodium sulfate, the first preparations of human serum
albumin were made available for clinical use in only 1941 by the
development of plasma fractionation by Cohn and his coworkers at
Harvard Medical School."
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