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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 334:973-979 April 11, 1996 Number 15
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Case 11-1996— A 69-year-old man with progressive renal failure and the abrupt onset of dyspnea
R.C. Stanton, V. Nickeleit, and E.J. Mark

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Presentation of Case

A 69-year-old man was admitted to the hospital because of increasing dyspnea in the course of one day. The patient had a 12-year history of hypertension. He had had hyperlipidemia, with pancreatitis, five years before admission. During the year before admission, the creatinine concentration ranged between 1.3 and 1.7 mg per deciliter (110 and 115 µmol per liter). Six months before admission, the urea nitrogen concentration was 24 mg per deciliter (8.6 mmol per liter), and the creatinine concentration was 2.7 mg per deciliter (240 µmol per liter). "Nephrotic-range" proteinuria was noted; the results of serum protein electrophoresis and urinary . . . [Full Text of this Article]

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Related Letters:

Case 11-1996: Atheroembolism of the Kidneys and Lungs
Mallory R., Appel R. G., Stanton R. C., Mark E. J.
Extract | Full Text  
N Engl J Med 1996; 335:821, Sep 12, 1996. Correspondence

Treatment of Rheumatoid Arthritis
Stohl W., Arkfeld D. G., Zurier R. B., DeMarco D. M., Liu N. Y., Schinagl E. F., Strauss P. C., O'Dell J. R.
Extract | Full Text  
N Engl J Med 1996; 335:821-823, Sep 12, 1996. Correspondence

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