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Recurrent Hemorrhagic Nephritis with Exacerbation Related to Influenza A

Ann Intern Med. 1965;62(5):1022-1025. doi:10.7326/0003-4819-62-5-1022
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Recurrent hemorrhagic nephritis, although as yet incompletely defined, seems to be a distinct clinical entity. The occurrence of repeated attacks of gross hematuria, the persistence of microscopic hematuria between attacks, and the lack of development of azotemia and hypertension characterize the usual course of the disease. Persistent proteinuria is an inconstant finding. The etiology is unknown; clinical impressions have implicated viral infection, but documentation is scanty (1, 2). The following is a case of recurrent hemorrhagic nephritis with an exacerbation related to infection with influenza A.

CASE REPORT: An 18-year-old white male was perfectly well until January, 1963, when he


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