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August 1, 1914

Die Albuminurie. Klinische und experimentelle Beiträge zur Frage der Orthostatischlordotischen und der Nephritischen Albuminurie.

JAMA. 1914;LXIII(5):423. doi:10.1001/jama.1914.02570050059031

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In this monograph Jehle presents the clinical and experimental evidence on which he bases his conclusion that the so-called "orthostatic" albuminuria is always a "lordotic" albuminuria. During the period of development about the age of puberty, many persons acquire an inability to assume a proper carriage of the body. This leads not only to a lordosis, but also to various circulatory changes in various parts of the body. Those in the kidney are sufficient, in the mind of Jehle, to cause the albuminuria which is evident when the patient is erect (that is, when the lordosis is present). As the lordosis disappears when the subject is lying down, so also must the albuminuria, as the circulatory disturbances are not apparent under these conditions. Jehle further shows that albuminuria may be produced with a normal patient by inducing a lordosis in the recumbent position. It would seem, therefore, that the erect

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