Cargando…
Page kidney: A rare cause of secondary hypertension
Page kidney is a rare phenomenon that can present with hypertension. The presence of a subcapsular perirenal collection causes parenchymal compression leading to renal hypoperfusion. Subsequent activation of the renin–angiotensin–aldosterone system results in an increase in systemic blood pressure....
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AOSIS
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837813/ https://www.ncbi.nlm.nih.gov/pubmed/31754544 http://dx.doi.org/10.4102/sajr.v23i1.1762 |
_version_ | 1783467115262509056 |
---|---|
author | Warnich, Ilonka Nicolaou, Mark Sofianos, Zelia Pienaar, Jacobus A. Varghese, Jacob |
author_facet | Warnich, Ilonka Nicolaou, Mark Sofianos, Zelia Pienaar, Jacobus A. Varghese, Jacob |
author_sort | Warnich, Ilonka |
collection | PubMed |
description | Page kidney is a rare phenomenon that can present with hypertension. The presence of a subcapsular perirenal collection causes parenchymal compression leading to renal hypoperfusion. Subsequent activation of the renin–angiotensin–aldosterone system results in an increase in systemic blood pressure. The causes of renal subcapsular collections are varied, with most cases being secondary to post-traumatic haematomas. We present the case of a young hypertensive patient, treated as primary hypertension with persistently uncontrolled blood pressures. This was despite good treatment adherence. On further investigation, imaging identified the presence of bilateral subcapsular collections. This case illustrates the importance of a thorough workup in a young hypertensive patient with refractory hypertension. Given that Page kidney is curable, timeous intervention can save the patient from unnecessary medications and the morbidity of uncontrolled blood pressures. |
format | Online Article Text |
id | pubmed-6837813 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | AOSIS |
record_format | MEDLINE/PubMed |
spelling | pubmed-68378132019-11-21 Page kidney: A rare cause of secondary hypertension Warnich, Ilonka Nicolaou, Mark Sofianos, Zelia Pienaar, Jacobus A. Varghese, Jacob SA J Radiol Case Report Page kidney is a rare phenomenon that can present with hypertension. The presence of a subcapsular perirenal collection causes parenchymal compression leading to renal hypoperfusion. Subsequent activation of the renin–angiotensin–aldosterone system results in an increase in systemic blood pressure. The causes of renal subcapsular collections are varied, with most cases being secondary to post-traumatic haematomas. We present the case of a young hypertensive patient, treated as primary hypertension with persistently uncontrolled blood pressures. This was despite good treatment adherence. On further investigation, imaging identified the presence of bilateral subcapsular collections. This case illustrates the importance of a thorough workup in a young hypertensive patient with refractory hypertension. Given that Page kidney is curable, timeous intervention can save the patient from unnecessary medications and the morbidity of uncontrolled blood pressures. AOSIS 2019-09-23 /pmc/articles/PMC6837813/ /pubmed/31754544 http://dx.doi.org/10.4102/sajr.v23i1.1762 Text en © 2019. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. |
spellingShingle | Case Report Warnich, Ilonka Nicolaou, Mark Sofianos, Zelia Pienaar, Jacobus A. Varghese, Jacob Page kidney: A rare cause of secondary hypertension |
title | Page kidney: A rare cause of secondary hypertension |
title_full | Page kidney: A rare cause of secondary hypertension |
title_fullStr | Page kidney: A rare cause of secondary hypertension |
title_full_unstemmed | Page kidney: A rare cause of secondary hypertension |
title_short | Page kidney: A rare cause of secondary hypertension |
title_sort | page kidney: a rare cause of secondary hypertension |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837813/ https://www.ncbi.nlm.nih.gov/pubmed/31754544 http://dx.doi.org/10.4102/sajr.v23i1.1762 |
work_keys_str_mv | AT warnichilonka pagekidneyararecauseofsecondaryhypertension AT nicolaoumark pagekidneyararecauseofsecondaryhypertension AT sofianoszelia pagekidneyararecauseofsecondaryhypertension AT pienaarjacobusa pagekidneyararecauseofsecondaryhypertension AT varghesejacob pagekidneyararecauseofsecondaryhypertension |