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Correspondence
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Volume 331:1778 December 29, 1994 Number 26
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Metabolic Mimicry -- Renal Failure with Normal Renal Function

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To the Editor: Diet is known to affect serum creatinine and urea nitrogen,1 but dietary variations are not usually considered in the differential diagnosis of elevated serum creatinine and urea nitrogen concentrations. I report an instance in which an unusual diet caused such an elevation, simulating chronic renal failure.

A 50-year-old asymptomatic woman who was apparently healthy was found during a routine medical checkup to have a serum creatinine concentration of 1.8 mg per deciliter (160 µmol per liter) and a serum urea nitrogen concentration of 35 mg per deciliter (12.4 mmol per liter). The physical examination was normal. She . . . [Full Text of this Article]

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