Smith J A, Adetuyibi A
Trop Geogr Med. 1976 Sep;28(3):159-64.
Studies were carried out on diabetic patients that came to autopsy, over a 15-year period between 1959-1974 at the university college hospital, Ibadan, Nigeria. The findings have shed some light on the natural history of diabetic illness in the nigerian african and are sufficiently interesting to warrant a more long term prospective study of similar cases that come to autopsy. They have shown that contrary to an earlier study Greenwood and Taylor (1968), the classical Kimmelstiel-Wilson's lesion of diabetic nephropathy is not as rare as these earlier observers had assumed and that some cases of "insulin resistance" may be associated with adrenal cortical adenomata.
1959年至1974年的15年间,在尼日利亚伊巴丹大学学院医院对进行了尸检的糖尿病患者展开了研究。这些发现为尼日利亚非洲人糖尿病的自然病史提供了一些线索,且十分有趣,值得对进行尸检的类似病例开展更长期的前瞻性研究。研究表明,与格林伍德和泰勒早期的研究(1968年)相反,糖尿病肾病的经典金梅尔施泰因-威尔逊病变并不像这些早期观察家所认为的那样罕见,而且一些“胰岛素抵抗”病例可能与肾上腺皮质腺瘤有关。