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Unilateral renal artery stenosis presented with hyponatremic-hypertensive syndrome - case report and literature review.
Ding, Jhao-Jhuang; Lin, Shih-Hua; Lai, Jin-Yao; Wu, Tai-Wei; Huang, Jing-Long; Chung, Hung-Tao; Tseng, Min-Hua.
Afiliación
  • Ding JJ; Division of Nephrology, Department of Pediatrics, Chang Gung Memorial Hospital and Chang Gung University, No 5, Fu-Shing ST., Kwei-Shan, 33305, Taoyuan, Taiwan.
  • Lin SH; Department of Pediatrics, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.
  • Lai JY; Division of Nephrology, Department of Medicine, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.
  • Wu TW; Division of Pediatric Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Linkou, Taiwan.
  • Huang JL; Department of Pediatrics, Fetal and Neonatal Institute, Division of Neonatology Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Chung HT; Division of Allergy, Asthma and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.
  • Tseng MH; Division of Cardiology, Department of Pediatrics, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.
BMC Nephrol ; 20(1): 64, 2019 02 21.
Article en En | MEDLINE | ID: mdl-30791890
BACKGROUND: Renal artery stenosis is one of the secondary causes of pediatric hypertension. Cases with critical unilateral renal artery stenosis manifesting with the hyponatremic hypertensive syndrome are rare and a comprehensive description of this disorder in the pediatric population is lacking in the literature. CASE PRESENTATION: We describe a 4-year-old boy who presented with severe hypertension, profound hyponatremia, hypokalemia, nephrotic range proteinuria, and polyuria. Distinctly, the diagnosis of hyponatremic hypertensive syndrome secondary to unilateral renal artery stenosis was confirmed in light of laboratory and radiographic findings of severe natriuresis, elevated renin, and unilateral small kidney. Two weeks following nephrectomy, there was resolution of hyponatremia, hypokalemia, nephrotic range proteinuria and hypertension. CONCLUSIONS: Findings of hyponatremia, hypokalemia, hypertension, polyuria, and unilateral renal hypoplasia can be attributed to a unifying pathology of unilateral renal artery stenosis.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Obstrucción de la Arteria Renal / Hipertensión Renovascular / Hiponatremia / Riñón / Nefrectomía Tipo de estudio: Diagnostic_studies / Etiology_studies / Systematic_reviews Límite: Child, preschool / Female / Humans / Male Idioma: En Revista: BMC Nephrol Asunto de la revista: NEFROLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Taiwán

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Obstrucción de la Arteria Renal / Hipertensión Renovascular / Hiponatremia / Riñón / Nefrectomía Tipo de estudio: Diagnostic_studies / Etiology_studies / Systematic_reviews Límite: Child, preschool / Female / Humans / Male Idioma: En Revista: BMC Nephrol Asunto de la revista: NEFROLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Taiwán