This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor:—
Diabetic renal complications of the intercapillary glomerulosclerosis (Wilson-Kimmelstiel) type are commonly seen at a stage where neither control of sugar or salt, drugs, or other known treatments avail to stop the progression to fatal uremia. The markedly increasing mortality and the generally gloomy prognosis were my reasons for the report of a single case (Arch. Pediat.72:250 [Aug.] 1955). In 1922, when the patient was 6 years old, his severe diabetes was controlled in the Physiatric Institute, first with undernutrition and later with insulin. Later he managed his own treatment with symptomatic success, so that he grew up normally and never missed a day from work. For some 15 years back, there were occasional observations of slight albuminuria, hypertension, and tachycardia. After the symptoms increased, he was hospitalized in November, 1954, and returned to me because of an imminently fatal prognosis. He had uremic malaise, vomiting,
Allen FM. DIABETIC RENAL COMPLICATIONS. JAMA. 1956;160(2):135. doi:10.1001/jama.1956.02960370045018