Abstract

Presentation of Case First admission. A twenty-six-year-old man entered the hospital because of flank pain.Eight years previously urinalysis had shown proteinuria. He remained well until three months before admission, when nausea, abdominal discomfort and persistent aching in the left flank developed. There had been no weakness, polydipsia, polyuria, nocturia, hematuria, dysuria or episodes suggestive of the passage of renal calculi. For many years he had consumed 2 quarts of milk daily. He denied taking vitamins, phenacetin-containing medications or alkalis. He had been deaf in the left ear for an unknown period.The patient's father, who was alive at the . . .

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