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June 15, 1940


JAMA. 1940;114(24):2370-2372. doi:10.1001/jama.1940.62810240003008b

Symmetrical cortical necrosis of the kidneys as a puerperal complication was first reported by Bradford and Lawrence in 1898, and the paucity of cases described since their report makes it appear that this is a very rare complication. Most textbooks on obstetrics fail to mention this interesting and highly fatal condition. Approximately forty proved cases have been reported in the medical literature,1 but as these have occurred in a relatively few clinics it is probable that many more fatal cases have been classified under toxemias of pregnancy. Hendry and Goodwin, while preparing a discussion of this subject for a chapter in Davis's Gynecology and Obstetrics, reviewed the fatal cases of "toxemia" at the Toronto General Hospital and located two of symmetrical cortical necrosis of the kidneys. The present brief report is made in the belief that familiarity with this type of lesion as a cause of anuria will lead to

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