Davies P J
J R Soc Med. 1993 Mar;86(3):159-61.
The autopsy description of Beethoven's nephropathy is so typical of renal papillary necrosis, that the diagnosis is as near to certain as is possible, in the absence of a histological examination. A review of the symptoms and clinical course of Beethoven's final illness is consistent with this diagnosis. It is proposed that the cause was an acute onset diabetes mellitus, complicating chronic pancreatitis. Beethoven's case appears to be the first report in the literature of an autopsy proven case of renal papillary necrosis.
对贝多芬肾病的尸检描述是肾乳头坏死的典型表现，在没有组织学检查的情况下，诊断几乎可以确定。回顾贝多芬最后疾病的症状和临床病程与这一诊断相符。据推测，病因是急性发作的糖尿病，并发慢性胰腺炎。贝多芬的病例似乎是文献中首例经尸检证实的肾乳头坏死病例报告。
