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To the Editor:—
In going over Dr. Brennemann's article on abdominal pain in children in the March 24 issue of The Journal I note that diabetic acidosis and pyelonephritis are not mentioned as causes of acute abdominal pain often difficult to differentiate from the so-called "acute surgical abdomen." These are not infrequently met and need differentiation by urinary findings, although if the physical signs indicate a strong possibility of acute appendicitis it is safer to operate than to let it alone, the diabetes and its acidosis being possible of control despite the operation.
Gitlow S. "ABDOMINAL PAIN IN CHILDREN". JAMA. 1945;127(17):1148. doi:10.1001/jama.1945.02860170060024