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CASES OF MARKED HYPERTENSION, ADEQUATE RENAL FUNCTION AND NEURORETINITIS

HENRY P. WAGENER, M.D.; NORMAN M. KEITH, M.D.
Arch Intern Med (Chic). 1924;34(3):374-387. doi:10.1001/archinte.1924.00120030109009.
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During the last three years a number of patients with hypertension and neuroretinitis have been referred from the Mayo Clinic to the medical service at the hospital with the diagnosis of chronic, diffuse, glomerular nephritis. In several of these, on further study, we found that the history and clinical findings differed from those usually found in cases of chronic nephritis, and also that the renal function was surprisingly good. The case reported here (Case 11) is an example of a group which seems to form a definite clinical type.

REPORT OF CASE  Case 11.—A man, aged 45, sought medical advice at the Mayo Clinic because of severe headaches, general weakness, nervousness and loss of weight. Five years before, during treatment for dermatitis, his physician had noted increased blood pressure and albumin in the urine. Until one year before admission he had continued in good health, and had carried on his

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