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March 1953

ELECTROLYTE METABOLISM DURING RICE DIET: II. Serum Electrolytes in Patients with Severe Primary or Secondary Renal Disease

Author Affiliations


From the Department of Medicine, Duke University School of Medicine, Durham, N. C.

AMA Arch Intern Med. 1953;91(3):296-303. doi:10.1001/archinte.1953.00240150015002

IN A PREVIOUS paper,1 a survey was given of the serum electrolyte pattern of patients on strict rice diet who had hypertensive vascular disease without advanced renal involvement. It was found that in 95% of these patients, serum electrolyte concentrations were well maintained. One should expect this to be different in patients with advanced kidney disease, and doubts are occasionally expressed whether or not salt restriction is applicable at all in such instances. The purpose of this paper is to report on the tolerance to rigid salt restriction in a series of patients with severe renal disease who were treated with the rice diet.

The presence of renal insufficiency greatly complicates the study and interpretation of chemical changes which take place in the body fluids as a result of dietary measures. Whereas in the previous group of patients a systematic approach was possible, determining the serum electrolytes at equal

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