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June 7, 1965


JAMA. 1965;192(10):907-908. doi:10.1001/jama.1965.03080230113022

The prognosis for children with acute post-streptococcal glomerulonephritis is generally favorable. Occasionally, however, a child thought to have acute glomerulonephritis does poorly. The question then is whether he has acute glomerulonephritis or an illness which closely resembles it. The initial step in establishing the prognosis must be diagnosis of the condition. To establish definitive diagnostic criteria, Lieberman and Donnell reviewed the records of patients with diagnoses of acute glomerulonephritis at Children's Hospital of Los Angeles between 1937 and 1960.1 Of the patients reviewed, 486 were sought for follow-up.

Information was available for 354 patients; 333 had normal physical examinations and 21 were stated to be normal, but this impression was not documented by physical examinations or urinalyses. Increased numbers of red cells in the urinary sediment were observed in 31 children observed for less than three years, and abnormal Addis counts were found in an additional 11 patients followed

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