DAVID J. DRUTZ, M.D.; ROBERT A. GUTMAN, M.D.
To the editor: Dr. Talal's comments regarding the relationship of renal tubular acidosis to peritubular infiltration of lymphocytes (1) are of particular interest to us because of studies we have recently completed relative to the incidence of impaired distal tubular acidification mechanisms in patients with leprosy. While stationed with U.S. Naval Medical Research Unit #2 (NAMRU-2) in Taipei, Taiwan, we became interested in the observation that impaired renal acidification and hypergammaglobulinemia are related (2). The availability of patients with leprosy afforded an opportunity to evaluate the incidence of renal tubular acidosis in a single disease in which serum gamma globulin
DRUTZ DJ, GUTMAN RA. Renal Tubular Acidosis in Leprosy. Ann Intern Med. ;75:475–476. doi: 10.7326/0003-4819-75-3-475_2
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Published: Ann Intern Med. 1971;75(3):475-476.
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