Nodular Glomerulosclerosis Suspected during Life in a Patient without Demonstrable Diabetes Mellitus

Abstract
THE idea that diabetic nephropathy may occur in the absence of overt diabetes mellitus is not new. However, most reported studies on this subject have been retrospective, and, as Freedman1 has pointed out, the clinical data available in such cases usually have not been adequate to exclude the diagnosis of diabetes mellitus. In the patient described below, the diagnosis of diabetic nephropathy was suspected more than two years before death, and efforts were made then to establish the presence of diabetes mellitus. Although this diagnosis could not be made during life autopsy revealed nodular glomerulosclerosis, which is considered to be . . .

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