Remembering the ABC's

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Abstract
During a hospitalization for recurrent pneumonitis, a 40-year-old mildly retarded woman with Down's syndrome, Crohn's disease, a seizure disorder, and chronic renal disease requiring maintenance hemodialysis began to have bilateral eye pain.There is nothing that I as a nephrologist can specifically associate with renal failure as a cause of bilateral eye pain. Mineral conjunctivitis, the characteristic red eyes of renal failure, occurs when inadequate dialysis results in an elevated calcium:phosphate ratio; this complication should have been averted in any modern dialysis center. Crohn's disease does have iritis and uveitis as extraintestinal manifestations; an ophthalmology consultation would assist . . .

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