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Previous Volume 349:2055-2063 November 20, 2003 Number 21 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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Presentation of Case

A 68-year-old woman was admitted to the hospital because of impaired renal function. One month earlier, she had had difficulty breathing and had felt as though she had a fever; she went to another hospital, where nebulizers were prescribed, and her dyspnea improved. Two weeks later, malaise and a sensation of chilliness developed, with diffuse pains in the arms and legs, which prompted her to take two or three tablets of ibuprofen every four to five hours for two weeks, although the medication was only minimally effective. Ten days before admission, pruritus developed. She consulted a physician, who found that . . . [Full Text of this Article]

Differential Diagnosis

Interstitial Nephritis

Acute Interstitial Nephritis and the Nephrotic Syndrome

Electrolyte Abnormalities with Acute Interstitial Nephritis

Acute Renal Failure and the Nephrotic Syndrome

Clinical Diagnosis

Dr. Ajay K. Singh's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Renal Division, Department of Medicine, Brigham and Women's Hospital (A.K.S.); the Department of Pathology, Massachusetts General Hospital (R.B.C.); and the Departments of Medicine (A.K.S.) and Pathology (R.B.C.), Harvard Medical School.

Related Letters:

Case 36-2003: A Woman with Impaired Renal Function
Teixeira L., Mahr A., Barry S., Singh A. K., Bazari H., Colvin R.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:1058, Mar 4, 2004. Correspondence

This article has been cited by other articles:

• Pham, P.-C. T., Toscano, E., Pham, P.-M. T., Pham, P.-A. T., Pham, S. V., Pham, P.-T. T. (2009). Pain management in patients with chronic kidney disease. NDT Plus 2: 111-118 [Abstract] [Full Text]  
• Teixeira, L., Mahr, A., Barry, S., Singh, A. K., Bazari, H., Colvin, R. (2004). Case 36-2003: A Woman with Impaired Renal Function. NEJM 350: 1058-1058 [Full Text]