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Editor's Correspondence
April 12, 1999

Chronic Renal Insufficiency

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

In reply

We appreciate Hirsch's critique of our article. We concur with his comment that HIV-associated nephropathy is an increasingly important cause of chronic renal insufficiency.1-3 The primary purpose of our article though was not to provide a comprehensive list of the causes of chronic renal insufficiency, but rather to enumerate the most common causes and provide a framework for the evaluation and management of these patients. Unfortunately, this approach limited our ability to discuss individual disease entities. Nevertheless, we have outlined a comprehensive approach to several aspects of management of patients with chronic renal insufficiency.

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