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December 1978

Renal Cortical Necrosis-Reply

Author Affiliations

Greenbrook, NJ

Arch Intern Med. 1978;138(12):1866. doi:10.1001/archinte.1978.03630370072038

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In Reply.—  Dr Sporn's well-documented recent observation of renal cortical necrosis following streptococcal infection lends support to our impression both from the older literature and from our case that such an association should be recognized. A causal connection also seems implied by the apparent absence in Dr Sporn's patient of any other known cause of cortical necrosis. Evidently the differentiation of poststreptococcal glomerulonephritis from cortical necrosis or from combined cortical necrosis with proliferative nephritis has prognostic importance and thus requires our consideration in appropriate circumstances.

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