MARGARET D. BISCHEL, M.D., F.A.C.P.; DAVID S. GANS, M.D.; BENJAMIN H. BARBOUR, M.D.
To the editor: The paper "Urgent Bilateral Nephrectomy for Severe Hypertension" (1) reported eight patients with malignant hypertension. The interval between the onset of hemodialysis and nephrectomy was only 7 days in two patients and less than 6 weeks in seven. The other patient developed severe hypertension after several months of dialysis and then underwent bilateral nephrectomy. Two of these patients had predialysis serum creatinine levels of less than 9 mg/100 ml. Five patients had elevated renin concentrations, but the samples were collected after ultrafiltration during dialysis, before nephrectomy.
Although bilateral nephrectomy has been shown to be followed by reduction
BISCHEL MD, GANS DS, BARBOUR BH. Bilateral Nephrectomy for Hypertension. Ann Intern Med. ;77:656–658. doi: 10.7326/0003-4819-77-4-656
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Published: Ann Intern Med. 1972;77(4):656-658.
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