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ARTICLE |

PRIMARY VASCULAR NEPHRITIS, OR RENAL PERIARTERITIS NODOSA

J. JAY KEEGAN, M.D.
Arch Intern Med (Chic). 1925;36(2):189-203. doi:10.1001/archinte.1925.00120140041003.
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A recent case at the University Hospital afforded an unusual opportunity by early nephrectomy and later by necropsy to observe the development of a primary vascular nephritis of infectious origin. The operative specimen presented the characteristic pathologic appearance of periarteritis acuta nodosa and the necropsy specimen, two months later, showed the transformation of this lesion into early arteriosclerosis and chronic vascular nephritis. Associated with this renal vascular pathologic condition was a similar lesion of the cystic artery of the gallbladder, the pancreatic artery and the splenic artery.

REPORT OF CASE 

History.  —Mrs. C., aged 24, entered the Universtiy Hospital, Sept. 13, 1924, with the complaint of general malaise of three weeks' duration, weakness and loss of weight, from 118 to 82 pounds (53.5 to 37.2 kg.), over a period of several months. The history was unreliable as the patient was a morphin addict; she had been using "bromidia" for several

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