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Renal artery stenosis presenting with nephrotic-range proteinuria: a case report

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 glomerulonephriti...

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Autores principales: Hwang, Subin, Ham, Jun Soo, Hwang, Keum Bit, Jeong, Suk Hyeon, Ha, Sung Hae, Koo, Eun Hee, Kwon, Ghee Young, Do, Young Soo, Jang, Hye Ryoun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919591/
https://www.ncbi.nlm.nih.gov/pubmed/27366668
http://dx.doi.org/10.1016/j.krcp.2015.08.006
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author Hwang, Subin
Ham, Jun Soo
Hwang, Keum Bit
Jeong, Suk Hyeon
Ha, Sung Hae
Koo, Eun Hee
Kwon, Ghee Young
Do, Young Soo
Jang, Hye Ryoun
author_facet Hwang, Subin
Ham, Jun Soo
Hwang, Keum Bit
Jeong, Suk Hyeon
Ha, Sung Hae
Koo, Eun Hee
Kwon, Ghee Young
Do, Young Soo
Jang, Hye Ryoun
author_sort Hwang, Subin
collection PubMed
description 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.
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spelling pubmed-49195912016-06-30 Renal artery stenosis presenting with nephrotic-range proteinuria: a case report Hwang, Subin Ham, Jun Soo Hwang, Keum Bit Jeong, Suk Hyeon Ha, Sung Hae Koo, Eun Hee Kwon, Ghee Young Do, Young Soo Jang, Hye Ryoun Kidney Res Clin Pract Case Report 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. Elsevier 2016-06 2015-09-02 /pmc/articles/PMC4919591/ /pubmed/27366668 http://dx.doi.org/10.1016/j.krcp.2015.08.006 Text en Copyright © 2015. The Korean Society of Nephrology. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hwang, Subin
Ham, Jun Soo
Hwang, Keum Bit
Jeong, Suk Hyeon
Ha, Sung Hae
Koo, Eun Hee
Kwon, Ghee Young
Do, Young Soo
Jang, Hye Ryoun
Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
title Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
title_full Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
title_fullStr Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
title_full_unstemmed Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
title_short Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
title_sort renal artery stenosis presenting with nephrotic-range proteinuria: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919591/
https://www.ncbi.nlm.nih.gov/pubmed/27366668
http://dx.doi.org/10.1016/j.krcp.2015.08.006
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