We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |


Frederick M. Allen, M.D.
JAMA. 1956;160(2):135. doi:10.1001/jama.1956.02960370045018.
Text Size: A A A
Published online


To the Editor:—  Diabetic renal complications of the intercapillary glomerulosclerosis (Wilson-Kimmelstiel) type are commonly seen at a stage where neither control of sugar or salt, drugs, or other known treatments avail to stop the progression to fatal uremia. The markedly increasing mortality and the generally gloomy prognosis were my reasons for the report of a single case (Arch. Pediat.72:250 [Aug.] 1955). In 1922, when the patient was 6 years old, his severe diabetes was controlled in the Physiatric Institute, first with undernutrition and later with insulin. Later he managed his own treatment with symptomatic success, so that he grew up normally and never missed a day from work. For some 15 years back, there were occasional observations of slight albuminuria, hypertension, and tachycardia. After the symptoms increased, he was hospitalized in November, 1954, and returned to me because of an imminently fatal prognosis. He had uremic malaise, vomiting,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.