A Pakistani tailor, the sole breadwinner for a family of eight,had received diagnoses of type 2 diabetes and hypertension at31 years of age. For the next 15 years, although he felt welland visited his primary care practitioner twice a year, hisconditions were poorly controlled. When he was 46, he beganto notice fatigue and loss of appetite. After several weeksof the gradual progression of these symptoms, the man soughtmedical attention and was found to have a serum creatinine concentrationof 5.2 mg per deciliter (460 µmol per liter), a bloodurea nitrogen concentration of . . . [Full Text of this Article]
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Dr. Jafar is the head of the section of nephrology, director of the clinical epidemiology unit, and an associate professor of medicine and community health sciences at Aga Khan University, Karachi, Pakistan, and an adjunct faculty member at Tufts–New England Medical Center, Boston.
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