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Chronic Pyelonephritis at Autopsy

Ann Intern Med. 1967;66(4):697-710. doi:10.7326/0003-4819-66-4-697
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About 6 years ago, an analysis of the frequency with which chronic pyelonephritis* was diagnosed at autopsy showed that males were affected about as frequently as females (2). These data were difficult to explain in view of the marked preponderance of clinical urinary infections in women. A subsequent study was conducted on an autopsy sample from a defined population in Japan. The rates of urinary infection were determined in the clinic and compared with the diagnosis of chronic pyelonephritis at autopsy. Once again, the frequency with which the diagnosis of chronic pyelonephritis was made in males exceeded that anticipated from


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