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CHRONIC PYELONEPHRITIS AND HYPERTENSION
Author(s) -
GWYNNE J. F.
Publication year - 1960
Publication title -
australasian annals of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0571-9283
DOI - 10.1111/imj.1960.9.2.150
Subject(s) - medicine , chronic pyelonephritis , incidence (geometry) , disease , abdomen , autopsy , intravenous pyelography , pyelogram , pediatrics , urinary system , surgery , physics , optics
Summary The autopsy incidence of chronic pyelonephritis has been investigated in a series of zoo hypertensive patients. Evidence of the disease was found in 51.5%, the condition being unilateral in 4.5%. The findings indicate that “essential” hypertension is rare in young patients. Malignant hypertension and uræmia should suggest the presence of primary renal disease. Only 10% of the cases were diagnosed clinically, and the condition is often overlooked or misdiagnosed pathologically. The suggestion is put forward that full urine examination, X‐ray investigation of the abdomen and intravenous pyelography should be used more often and with greater care, in order that the clinical recognition of the disease may be improved.