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Previous Volume 330:994-996 April 7, 1994 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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During a hospitalization for recurrent pneumonitis, a 40-year-old mildly retarded woman with Down's syndrome, Crohn's disease, a seizure disorder, and chronic renal disease requiring maintenance hemodialysis began to have bilateral eye pain.

There is nothing that I as a nephrologist can specifically associate with renal failure as a cause of bilateral eye pain. Mineral conjunctivitis, the characteristic red eyes of renal failure, occurs when inadequate dialysis results in an elevated calcium:phosphate ratio; this complication should have been averted in any modern dialysis center. Crohn's disease does have iritis and uveitis as extraintestinal manifestations; an ophthalmology consultation would assist me in . . . [Full Text of this Article]

Commentary

Source Information

From Yale University School of Medicine, 333 Cedar St., New Haven, CT 06510, where reprint requests should be addressed to Dr. Duffy.

References

Related Letters:

Clinical Problem-Solving: Remembering the ABC's
Leiner S., Zelmanovitz F., Gross J. L., Duffy T. P.
Extract | Full Text  
N Engl J Med 1994; 331:551, Aug 25, 1994. Correspondence

This article has been cited by other articles:

• Makoff, R., Gonick, H. (1999). Clinical Dilemmas; Renal Failure and the Concomitant Derangement of Micronutrient Metabolism. Nutr Clin Pract 14: 238-246  
• Kassirer, J. P. (1995). Teaching Problem-Solving -- How Are We Doing?. NEJM 332: 1507-1509 [Full Text]  
• Leiner, S., Zelmanovitz, F., Gross, J. L., Duffy, T. P. (1994). Clinical Problem-Solving: Remembering the ABC's. NEJM 331: 551-551 [Full Text]