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Volume 347:857 September 12, 2002 Number 11
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Medical Mystery — The Answer

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 by Kory, L. A.
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To the Editor: The medical mystery in the July 25 issue1 involved a 34-year-old woman who was receiving dialysis and who had had multiple admissions for uremic pericarditis. An abdominal radiograph (Figure 1) was obtained during an evaluation for abdominal pain. The uremic pericarditis was the probable cause of referred abdominal pain. The patient had received two renal transplants, 18 and 20 years earlier, and had undergone partial parathyroidectomy 4 years earlier for hyperparathyroidism. The abdominal image shows two ossified renal transplants and adjacent surgical clips. There are marked changes indicative of osteomalacia. No cause of the abdominal . . . [Full Text of this Article]




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