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Title: アンジオテンシンIIアナローグテスト陰性であった腎血管性高血圧症の1例 (付)本テスト施行16例(腎性および腎血管性高血圧症例)の検討
Other Titles: RENOVASCULAR HIYPERTENSION WITH NEGATIVE RESPONSE TO ANGIOTENSIN II ANALOGUE TEST: REPORT OF A CASE
Authors: 西淵, 繁夫  KAKEN_name
川村, 寿一  KAKEN_name
岡田, 裕作  KAKEN_name
吉田, 修  KAKEN_name
河野, 剛  KAKEN_name
池田, 文武  KAKEN_name
Author's alias: Nishibuchi, Shigeo
Kawamura, Juichi
Okada, Yusaku
Yoshida, Osamu
Kono, Tsuyoshi
Ikeda, Fumitaka
Issue Date: Dec-1980
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 26
Issue: 12
Start page: 1521
End page: 1528
Abstract: A case of renovascular hypertension initially diagnosed after injury was reported. The patient was a 52-year-old man who fell down from the second floor and suffered from multiple bone fractures and gross hematuria. Hypertemion (180/100 mmHg) and left non-visualizing kidney were found several weeks later, and referred to Our hospital 5 months after trauma with chief complaints of headache and sleeplessness. Peripheral plasma renin activity was high (3.72 ng/ml/hr), and the renal vein renin ratio was 3.97 (left/right). Severe stenotic lesion of the left renal artery was shown on renal angiogram. Angiotensin II Analogue test, however, did not show any decrease pattern of blood pressure as had been expected, even after furosemide load. Left nephrectomy waS performed and the patient became normotensive. We reviewed 16 cases of hypertension of renal origin in which Angiotensin II Analogue test was performed in our department. This case was the only case of renovascular hypertension with negative response even in the state of activated renin-angiotensin-aldosterone system.
URI: http://hdl.handle.net/2433/122784
Appears in Collections:Vol.26 No.12

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