When Duff and Murray1 collected 71 instances of bilateral cortical necrosis of the kidneys in 1939 they encountered no patient in whom burns had been a predisposing factor. In most deaths from burns pathologic condition of the kidneys has been described as tubular degeneration and intense vascular stasis.2 Necrotic foci in the kidney presumably from direct action of a toxin, and hemoglobin deposition in the tubules from erythrolysis are also described as evidence of more severe damage.3 Evidence of still greater renal involvement of a vascular nature is embodied in the following report of bilateral symmetrical cortical necrosis of the kidneys following extensive cutaneous burns:
REPORT OF CASE
A woman aged 32, a housewife, was admitted to Watts Hospital immediately after suffering severe burns when her nightgown caught on fire. No further history was available except that she had three children, the youngest child 1
Brown CE, Crane GL. BILATERAL CORTICAL NECROSIS OF THE KIDNEYS FOLLOWING SEVERE BURNS. JAMA. 1943;122(13):871–873. doi:10.1001/jama.1943.72840300002008a
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