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Correspondence
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Volume 333:524-525 August 24, 1995 Number 8
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Case 12-1995: Acute Postinfectious Glomerulonephritis

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 by Black, R.M.
To the Editor: In his discussion of Case 12-1995 (April 20 issue)1 on acute renal failure of glomerular origin, Black mentions the possibility of IgA nephropathy as a cause of glomerular hematuria. He cites our study 2 of patients with acute renal failure associated with episodes of macroscopic hematuria, but he misinterprets our conclusions. We found that decreased renal function in IgA nephropathy correlated closely with the presence of red-cell casts in the tubular lumen, accompanied by signs of tubular necrosis, and not with the presence of glomerular crescents, as Black states. At the time of the disappearance of macroscopic hematuria, . . . [Full Text of this Article]

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