J. M. LAZARUS, M.D., F.A.C.P.; C. L. HAMPERS, M.D.
To the editor: In his article, "Malignant Hypertension: Kidneys Too Good to be Extirpated," (Ann Intern Med 80:754-757, 1974) Dr. Mroczek takes issue with the use of bilateral nephrectomy in patients with malignant hypertension. It appears that he has no objection to, and in fact supports, the use of nephrectomy in those patients with terminal renal failure. The point at issue is the definition of "terminal" renal failure.
In our article advocating bilateral nephrectomy (1), we indicated that bilateral nephrectomy is not suggested in acute renal failure due to hypertension but in those patients with slowly progressive, chronic azotemia complicating
LAZARUS JM, HAMPERS CL. Bilateral Nephrectomy in Hypertension. Ann Intern Med. ;82:119–120. doi: 10.7326/0003-4819-82-1-119
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Published: Ann Intern Med. 1975;82(1):119-120.
Cardiology, Coronary Risk Factors, Hypertension, Infectious Disease, Nephrology.
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