ISRAELI A. JAFFE, M.D.
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To the editor: In their article, Chalmers and associates (1) state that renal involvement is unusual in penicillamine-induced lupus erythematosus but that it has been described and give three literature citations (references 4, 8, 9). In their reference 4, Kirby and associates do describe renal disease in one of their four patients with penicillamine-induced lupus erythematosus; however, they also describe 17 additional patients with penicillamine-induced nephropathy, none of whom had lupus erythematosus. In reference 8, there is no mention of drug-induced lupus erythematosus among the various examples of penicillamine toxicity reported. Reference 9 refers only to penicillamine-induced Goodpasture's syndrome, not
JAFFE IA. References on Penicillamine-Induced Renal Disease. Ann Intern Med. 1983;98:417. doi: 10.7326/0003-4819-98-3-417_2
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Published: Ann Intern Med. 1983;98(3):417.
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