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Normal values for mature and immature neutrophils in very preterm babies 235 3 Zipursky A, Palko J, Milner R, Akenzua G I. Case reportThis 9-year-old boy had been in good health until December 1977 when he developed haemolytic uraemic syndrome. In the hospital, the patient was anuric for 17 days and required peritoneal dialysis. As urine output resumed the blood pressure increased to 150/100 mmHg requiring antihypertensive therapy. The patient was discharged after one month with a serum creatinine concentration of 1 6 mg/100 ml (142 ,umol/l). However one month later blood pressure rose to 150/110 mmHg and the patient was readmitted with papilloedema, plasma urea 29 mmol/l, and creatinine 4.4 mg/100 ml (392 ,umol/l). Despite treatment the blood pressure was poorly controlled and serum creatinine levels remained high. Urinary vanillylmandelic acid was normal. Intravenous pyelogram and technetium renal scan showed decreased renal function but were otherwise normal. Peripheral venous renin was greatly increased at over 100 ng/ml per hour (normal 0-5). Renal biopsy showed evidence of nephrosclerosis with severe endothelial proliferation in the arterioles. Bilateral selective renal angiograms showed loss of corticomedullary junction and interlobular arteries suggesting glomerular disease. Renin was 81 *9 in the right renal vein and Ill ng/ml per hour in the left.His
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