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Correspondence
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Volume 348:79-81 January 2, 2003 Number 1
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IgA Nephropathy

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 by Donadio, J. V.
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To the Editor: In their review article, Donadio and Grande (Sept. 5 issue)1 emphasize the favorable effects of corticosteroids and n – 3 fatty acids on the progression of renal insufficiency in IgA nephropathy. Unfortunately, a considerable number of cases of IgA nephropathy remain undiagnosed until an irreversible decline in renal function has occurred. As pointed out by the authors, IgA nephropathy typically becomes symptomatic when there is an episode of macroscopic hematuria, often accompanied by loin pain. To most general physicians, hematuria with loin pain in a patient suggests the presence of nephrolithiasis. The patient will be referred to . . . [Full Text of this Article]


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