HERMAN O. MOSENTHAL, M.D., F.A.C.P.; HOWARD H. LANDER, M.D.
The elevation of blood pressure characteristic of chronic Bright's disease is usually believed to occur in two ways: first, without any renal involvement whatsoever—primary or essential hypertension; second, as the result of renal insufficiency—secondary hypertension.
However, the development of increased arterial tension before impairment of renal function is present, occurs commonly in cases of chronic diffuse glomerular nephritis, whose initial, dominant, often sole sign is albuminuria. A study of 124 cases shows that 36 per cent had a normal blood
pressure, 19 per cent had an elevation of blood pressure associated with marked renal insufficiency, and 45 per cent had
MOSENTHAL HO, LANDER HH. THE DEVELOPMENT AND IMPORTANCE OF HYPERTENSION IN CHRONIC BRIGHT'S DISEASE1. Ann Intern Med. ;12:1449–1454. doi: 10.7326/0003-4819-12-9-1449
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Published: Ann Intern Med. 1939;12(9):1449-1454.
Cardiology, Coronary Risk Factors, Hypertension, Nephrology.
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