Premium
SEASONAL VARIATION IN THE POST‐MORTEM INCIDENCE OF RENAL PAPILLARY NECROSIS
Author(s) -
Nanra Ranjit Singh,
Hicks J. D.,
McNamara J. H.,
Lie J. T.,
Leslie D. W.,
Jackson B.,
KincaidSmith Priscilla
Publication year - 1970
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1970.tb77883.x
Subject(s) - renal papillary necrosis , necrosis , incidence (geometry) , medicine , rheumatoid arthritis , acute tubular necrosis , pathology , kidney , physics , optics
In a post‐mortem survey conducted at the Royal Melbourne Hospital and the Melbourne City Coroner's Court, the incidences of renal papillary necrosis were 8–7% and 2–8% respectively. Analgesic abuse was found to be an important association. The high incidence of renal papillary necrosis in Australia is confirmed, and a close relationship between the incidence of papillary necrosis and mean monthly temperatures has been shown. This may have important implications in the understanding of the pathogenesis of papillary necrosis and its clinical management. Every patient with rheumatoid arthritis in this survey had renal papillary necrosis, and it is suggested that a constant high fluid intake may afford some degree of protection for such patients.