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Athletic Nephritis: Pseudo and Real

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Department of Medicine, University of Hawaii School of MedicineHonolulu, Hawaii

Ann Intern Med. 1971;75(6):966-967. doi:10.7326/0003-4819-75-6-966
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That athletic competition may result in proteinuria, hematuria, and cylinduria has been known for more than 60 years (1). These abnormalities appear in the urines of athletes whose preexertional specimens are entirely normal. In most persons they are transient findings that disappear within hours to days after the end of exercise. They seem to relate directly to the severity and duration of physical stress and to the degree to which the athlete is conditioned for that stress.

Before 1960 it was usual to attribute the genesis of these urinary abnormalities not to pathological renal damage but rather to the physiological


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