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Correspondence
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Volume 354:1085-1086 March 9, 2006 Number 10
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The Nephrotic Syndrome in the Democratic Republic of Congo

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To the Editor: In some parts of Africa, the hospital admission rate for the nephrotic syndrome is 100 times greater than that in the United Kingdom, Europe, or the United States.1 In the Democratic Republic of Congo, the nephrotic syndrome accounts for 38 percent of admissions in the nephrology department. During the 1970s, minimal-change glomerulopathy responsive to corticosteroids2 represented 22 percent of renal admissions. The remaining 78 percent consisted of diverse glomerular abnormalities, such as amyloidosis, membranoproliferative and proliferative glomerulonephritis, and membranous glomerulopathy. Of interest in this discussion, focal segmental glomerulosclerosis represented only 6 percent of these cases. Overall, 52 . . . [Full Text of this Article]


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