Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
Kidney Research and Clinical Practice
; : 119-122, 2016.
Article
en En
| WPRIM
| ID: wpr-67990
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Proteinuria
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Arteria Renal
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Obstrucción de la Arteria Renal
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Biopsia
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Presión Sanguínea
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Angiotensinas
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Prótesis Vascular
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Angiografía
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Stents
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Angioplastia
Límite:
Aged
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Humans
Idioma:
En
Revista:
Kidney Research and Clinical Practice
Año:
2016
Tipo del documento:
Article