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KMID : 0359919860050010095
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Korean Journal of Nephrology
1986 Volume.5 No. 1 p.95 ~ p.101
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A Case of Renal Hypertension Due to Chronic Atrophic Pyelonephritis that was Treated br Nephrectomy
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Won Nam-Hee
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Abstract
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Renal hypertension that is classified to renovascular and renal parenchymal hypertension is one of the major causes of secondary hypertension. Renal parenchymal hypertension due to chronic atrophic pyelonephritis shows the characteristic findings of atrophic scar and fibrosis in renal parenchyme and it is emphasized with clinical significance to be correctable hypertension by the nephrectomy. That is suggested the vesico-ureteric reflux plays a major role in the pathogenesis of the chronic atrophic pyelonephritis.
A 19-year-old male patient who complained nausea and headache for 8 months shows hypertension, 190/110 mmHg, on admission and he is examined with IVP, Renogram, Renal angiogram and Cystoscopy. After removal of the left atrophic and scarred kidney under the diagnosis of renal parenchymal hypertension due to chronic atrophic pyelonephritis, his blood pressure becomes to be normal without any antihypertensive agents. The PRA is also reduced significantly than that of preoperative state.
We report one case of renal parenchymal hypertension that was treated by the nephrectomy with reviewing some literature.
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