JUAN J. ALBERTI-FLOR, M.D.; G. DEWEY DUNN, M.D.
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To the editor: We read with interest the report of Goldberg and coworkers ( 1 ) about rectal ulcers in patients with chronic renal failure. We recently saw a 55-year-old black man with end-stage renal disease secondary to hypertension who was evaluated for guaiac-positive stools. He had been on chronic ambulatory peritoneal dialysis for the last 2 years and had previously spent 4 years in hemodialysis.
Abdominal examination showed multiple scars, normal bowel sounds, and a peritoneal dialysis catheter. There was no tenderness or rebound. Rectal findings included guaiac-positive stools without masses or rectal prolapse. Laboratory tests showed a hemoglobin
ALBERTI-FLOR JJ, DUNN GD. Rectal Ulcers and Chronic Renal Failure. Ann Intern Med. 1984;101:278. doi: 10.7326/0003-4819-101-2-278_2
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Published: Ann Intern Med. 1984;101(2):278.
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