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Previous Volume 350:1550-1559 April 8, 2004 Number 15 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 12-year-old boy was admitted to the hospital because of hypertension and edema, and because the results of urinalysis were abnormal.

Fourteen days before admission, cough and nasal congestion, followed by pain in his right ear, had developed. Four days before admission, the boy was seen by a pediatrician, who noted a temperature of 38.2°C, diagnosed right otitis media and an upper respiratory tract infection, and prescribed amoxicillin. Two days later, a rash developed on the boy's face, hands, feet, and torso; he visited the emergency department of another hospital, and the amoxicillin was discontinued.

Over the next two days, . . . [Full Text of this Article]

Differential Diagnosis

Hypocomplementemic Nephritis

            Intrinsic Renal Diseases

            Systemic Illnesses That Affect the Kidneys

            Systemic Lupus Erythematosus

Clinical Diagnosis

Dr. Michael J. Somers's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Division of Nephrology, Department of Medicine, Children's Hospital (M.J.S.); the Departments of Pediatric Nephrology (G.H.D.) and Pathology (R.T.M.), Massachusetts General Hospital; and the Departments of Pediatrics (M.J.S., G.H.D.) and Pathology (R.T.M.), Harvard Medical School — all in Boston.

Related Letters:

Case 11-2004: A Boy with Rash, Edema, and Hypertension
Dixit R. K., Sivagnanam G., Somers M. J.G., Daouk G. H.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:1149-1150, Sep 9, 2004. Correspondence

This article has been cited by other articles:

• Dixit, R. K., Sivagnanam, G., Somers, M. J.G., Daouk, G. H. (2004). Case 11-2004: A Boy with Rash, Edema, and Hypertension. NEJM 351: 1149-1150 [Full Text]