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Correspondence
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Volume 346:1751-1752 May 30, 2002 Number 22
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Case 4-2002: Cancer-Associated Obstruction and Glomerular Damage

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by Bazari, H.
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To the Editor: Case 4-2002 (Jan. 31 issue) described a 75-year-old man with acute renal failure five months after cystoprostatectomy and urethrectomy for carcinoma.1 Recently, we cared for a 52-year-old woman who had acute renal failure after surgery for an obstructing transitional-cell carcinoma of the bladder. The follow-up serum creatinine concentration was 1.5 mg per deciliter. Two months after surgery, she presented with acute oliguric renal failure. No obstruction was present, and hemodialysis was initiated. Findings on a biopsy of the kidney were consistent with the presence of anti–glomerular basement membrane antibody disease: light microscopy revealed an acute necrotizing, crescentic . . . [Full Text of this Article]

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