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February 1955


Author Affiliations

Rochester, Minn.

From the Section of Medicine, Mayo Clinic and Mayo Foundation.

AMA Arch Intern Med. 1955;95(2):247-255. doi:10.1001/archinte.1955.00250080069009

THE MANAGEMENT of chronic nephritis is one of the problems that is faced by all internists who do not sharply limit their field of interest. Even those who do ultimately become concerned with the problem of renal function. For example, there is the endocrinologist who must treat his patient after the development of the Kimmelstiel-Wilson syndrome; the hematologist whose patient, suffering from multiple myeloma, develops renal insufficiency, and the gastroenterologist whose patient, suffering from cirrhosis, develops associated hepatic and renal failure. Progress has been made in the management of chronic nephritis in recent years, but that progress has been made slowly and unspectacularly.

AIMS IN MANAGEMENT  By careful and continuous supervision the internist can accomplish much for the patient with chronic nephritis. Although cure, which would of necessity involve the replacement of damaged or destroyed functional units of the kidney, is impossible, the patient may be helped to lead a

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