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Editor's Correspondence
April 12, 1999

Chronic Renal Insufficiency

Arch Intern Med. 1999;159(7):757. doi:

I enjoyed the review of chronic renal insufficiency by Rahman and Smith,1 but found the omission of one cause of renal insufficiency to be disheartening. Herein I describe a case of nephropathy whose cause was only discovered only after the physician was guided by a subtle laboratory finding to question the patient carefully about her medical and social history.