It is generally assumed, and I myself once cherished the conviction, that with every surgical tuberculosis of the kidney—even in the earliest stage—albuminuria must occur, and that one would therefore be justified in excluding the diagnosis of tuberculosis of the kidney when the examination of the urine for albumin gives a negative result. But of late years a series of observations has shown me that this is not the case, as we see some cases in which the albuminuria is intermittent, and others in which it seems to be invariably absent.
Among my cases, about 200 in number, I have established the diagnosis seven times in such circumstances.
In reality, cases of this sort are undoubtedly far more frequent, because just the belief of the necessity of albuminuria with tuberculosis of the kidney has surely resulted in most physicians not having thought of or searched for tuberculosis in
ROVSING T. THE DIAGNOSIS OF TUBERCULOSIS OF THE KIDNEY IN VERY EARLY AND VERY ADVANCED CASES: PROGNOSIS AND TREATMENT. JAMA. 1912;LIX(25):2228–2232. doi:10.1001/jama.1912.04270140032010
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