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June 1, 1907


JAMA. 1907;XLVIII(22):1870. doi:10.1001/jama.1907.02520480048012

The fact that in most forms of nephritis, in practically all chronic forms especially, the blood pressure is increased, is one which has been taken advantage of in diagnosis. That certain diseases of the kidney which may be confounded with nephritis are not associated with a rise in blood pressure is an observation not yet widely realized. Reitter2 has recently studied a series of cases of renal tuberculosis, comparing them especially with the infectious types of nephritis with which they are most likely to be confounded, and finds that in the individuals with tuberculosis there is, practically without exception, a hypotonia. A rise of blood pressure was not present in all cases of pyelitis and pyelonephritis, but in none of these cases was there an absolute hypotonia. Observations of this kind indicate the value of exact measurement of the blood pressure in diagnosis, especially in the diagnosis of kidney

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