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To the Editor:

We appreciate the analysis performed by Zaffanello and Fedrizzi on their patients with acute glomerulonephritis in response to our article on delay in diagnosis in children with poststreptococcal glomerulonephritis. They found a similar rate of delay in diagnosis in their patients (27%) as we reported (33%). We agree with their comment that a more precise term for the delay that we described would be delay in clinical suspicion. Unlike the patients described by Zaffanello and Fedrizzi, a number of our patients had adverse clinical consequences as a result of the delay.