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ACUTE NEPHRITIS IN CHILDHOOD

LEWIS WEBB HILL, M.D.
JAMA. 1919;73(23):1747-1749. doi:10.1001/jama.1919.02610490011005.
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At the Children's Hospital we have been for several years especially interested in nephritis. This paper is a brief exposition of our experience with the acute cases.1

ETIOLOGY  It is now generally recognized that the vast majority of cases of acute nephritis are of infectious origin. In the older textbooks, cold and exposure are given as perhaps the more important causes, and it is undoubtedly true that these factors may have something to do with certain cases. In chronic nephritis in older persons, the wear and tear of life, especially on the blood vessels of the kidney, is often of great importance etiologically; but as far as children are concerned, micro-organisms or their toxins may be said to play the main etiologic rôle. It is well known that in many diseases (pneumonia, typhoid fever, etc.) there is enough irritation of the kidney to cause small amounts of albumin and

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