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Case Reports |

CONGENITAL MEDULLARY CYSTS OF THE KIDNEYS WITH SEVERE REFRACTORY ANEMIA

CARL H. SMITH, M.D.; JOHN B. GRAHAM, M.D.
Am J Dis Child. 1945;69(6):369-377. doi:10.1001/archpedi.1945.02020180033006.
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This paper reports a rare congenital lesion of the kidneys in a child with intractable anemia. The anemia was not explained until routine examination revealed severe and unexpected azotemia, despite minimal urinary changes. Chronic progressive anemia and nitrogen retention continued to be the outstanding features during the subsequent period of eight months. Exhaustive clinical, roentgenographic and urologic studies during life could not be correlated with the unusual pathologic condition found in the kidneys on postmortem examination.

REPORT OF A CASE  History.–The history comprises six hospital admissions from Sept. 12, 1942 to May 22, 1943. Brief summaries of each hospitalization follow, with inclusion of only the more significant results of laboratory examinations.First Hospitalization: M. L., a white girl 8 years old, was admitted to the Children's Clinic of the New York Hospital on Sept. 12, 1942 for study of a profound anemia of one year's duration. She was well until

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