A paraganglioma in a hypertensive patient with unilateral renal hypoplasia.
نویسندگان
چکیده
We report the case of a 46-year-old hypertensive Japanese female with renal insufficiency related to unilateral renal hypoplasia. The patient was found to have developed paraganglioma in the retroperitoneal space over a 5-year period. Catecholamine-producing tumors are not usually recognized as conditions associated with renal hypoplasia. Our long-term observation of the patient eventually led us to the diagnosis of paraganglioma. In hypertensive patients with chronic kidney disease, not only the renin-angiotensin-aldosterone system but also catecholamine activity may be involved, particularly in the patients whose cases are complicated with unilateral renal hypoplasia.
منابع مشابه
Congenital oligonephronic renal hypoplasia with hypertrophy of nephrons (oligonephronia).
Van Acker, K. J., Vincke, H., Quatacker, J., Senesael, L., and Van den Brande, J. (1971). Archives of Disease in Childhood, 46, 321. Congenital oligonephronic renal hypoplasia with hypertrophy of nephrons (oligonephronia). Four patients with oligonephronia are described. The clinical picture was that of a progressive renal insufficiency, but the time of onset and severity varied from one case t...
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Nephrectomy has been carried out in 34 patients with hypertension associated with unilateral parenchymal renal disease (28 with unilateral pyelonephritis, 3 tuberculosis, 2 hypoplasia, and 1 adenocarcinoma). In 13 of the patients the blood pressure was corrected, in four it was improved, and in 17 it was unaffected. The intravenous pyelogram (by the infusion technique with nephrotomography if n...
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ورودعنوان ژورنال:
- Acta medica Okayama
دوره 69 2 شماره
صفحات -
تاریخ انتشار 2015