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REPORT OF A CASE

ROLF KATZENSTEIN, M.D.; JAMES PETER MURPHY, M.D.

Arch Intern Med. 1941;67(3):579-589.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The clinicopathologic entity of bilateral cortical necrosis of the kidneys has been well recognized, especially since the comprehensive summary, which included 2 of the author's own cases, published by Ash¹ in 1933. Many articles presenting more examples of this strange condition have appeared since then.² In all the clinical course was characterized by one or more of the following features: absence of premonitory signs or symptoms of renal damage; acute onset of the illness (frequently subsequent to the termination of pregnancy); reduction or suppression of urinary output; elevation of systolic and diastolic blood pressures (in about one half of the cases); headache, unconsciousness and convulsions (the last occurring in about one third of the cases); vomiting and diarrhea, and a short course, terminating fatally in one to nineteen days. Coma usually preceded death. Albuminuria and the presence of erythrocytes and casts in specimens of urine examined were almost . . . [Full Text PDF of this Article]

Author Affiliations
NEW HAVEN, CONN.

From the Department of Pathology, Yale University School of Medicine.

Footnotes
The clinical data are included with the permission of the Department of Internal Medicine, Yale University School of Medicine.

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