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March 17, 1956


JAMA. 1956;160(11):997. doi:10.1001/jama.1956.02960460075019

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To the Editor:—  The address of the Chairman of the Section on Obstetrics and Gynecology at the 1955 Annual Meeting of the American Medical Association (J. A. M. A.160:251-255 [Jan. 28] 1956) states that eclampsia "is still one of the three most common causes of maternal mortality" and that "uremia stands out as an almost exact counterpart." The author attributes the symptoms to toxins derived from protein metabolism and, therefore, states that the "logical approach would be to put the patient to bed to reduce protein breakdown from bodily activity, limit protein intake." This is an astonishing disregard of the universally established fact among students of the kidney that the outdated jumble of uremia has been separated into different components; most of the enumerated eclamptic symptoms (edema, retinal changes, high blood pressure, dizziness, and convulsions) have no relation whatever to azotemia or protein metabolism but are the recognized

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