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A 59-year-old man was admitted to the hospital because of possible pneumonia and acute renal failure.
He had a 17-year history of non-insulin-dependent diabetes mellitus that had been managed in recent years with glyburide, with reportedly good control; he was known to have retinopathy and had undergone laser treatments 5 years before admission. Two months before admission evaluation elsewhere showed that the 24-hour urinary excretion of protein was 3.7 g; the serum creatinine level ranged between 1.0 and 1.5 mg per deciliter (88 and 130 µmol per liter), and the creatinine clearance was 77 ml per minute. During the six
Differential Diagnosis
Clinical Diagnosis
Dr. Robert M. Black's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 12-1995: Acute Postinfectious Glomerulonephritis
Praga M., Black R. M.
Extract |
Full Text
N Engl J Med 1995;
333:524-525, Aug 24, 1995.
Correspondence
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