ANDREW F. BEREZIN
To the editor: A recent article by Weinrauch and associates (1) reported the precipitation of acute renal failure in diabetic patients by coronary angiography. I have seen a patient with long-standing diabetes mellitus develop acute renal failure after a contrast study, which was part of a computed tomography scan procedure.
A 73-year-old black woman had had adult onset diabetes for 30 years (with presumed Kimmelstiel-Wilson renal disease). Her treatment consisted of 20 units of NPH insulin daily. In addition, her hypertension was treated with clonidine, 0.1 mg twice daily. Her blood sugar level was usually about 200 mg/dl. Blood urea
BEREZIN AF. Acute Renal Failure, Diabetes Mellitus, and Scanning. Ann Intern Med. ;86:829–830. doi: 10.7326/0003-4819-86-6-829_2
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Published: Ann Intern Med. 1977;86(6):829-830.
Acute Kidney Injury, Cardiology, Coronary Risk Factors, Diabetes, Diabetic Nephropathy.
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