Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
Kidney Research and Clinical Practice
;
: 119-122, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-67990
ABSTRACT
Renal artery stenosis (RAS) is commonly presented with hypertension and chronic kidney disease. We report a rare case of RAS occurring in a 78-year-old man who presented with nephrotic-range proteinuria. Renal biopsy on the left side was performed, and results showed mesangiopathic glomerulonephritis, which was not compatible with the cause of nephrotic-range proteinuria. Proteinuria was decreased by angiotensin receptor blocker, but azotemia was aggravated. Therefore, angiotensin receptor blocker was discontinued inevitably and thorough evaluation for the possibility of RAS was performed. Computed tomography angiography revealed significant RAS on the left side and a renal artery stent was inserted. After stenting, aortic dissection developed and progressed despite tight control of blood pressure. After inserting another stent graft through the true lumen of the left renal artery, the patient's renal function and proteinuria improved markedly.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Proteinúria
/
Artéria Renal
/
Obstrução da Artéria Renal
/
Biópsia
/
Pressão Sanguínea
/
Angiotensinas
/
Prótese Vascular
/
Angiografia
/
Stents
/
Angioplastia
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Kidney Research and Clinical Practice
Ano de publicação:
2016
Tipo de documento:
Artigo
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