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KMID : 0359920090280030230
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Korean Journal of Nephrology
2009 Volume.28 No. 3 p.230 ~ p.235
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Renovascular Hypertension and Nephrotic Range Proteinuria Developed after the Renal Artery Ligation: Successful Treatment by Combination of ACE Inhibitor and Angiotensin II Type 1 Receptor Blocker
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Oh Se-Won
Kim Sun-Chul
Cha Jin-Joo
Kim Myung-Gyu
Woo Young-Seok
Boo Chang-Su
Jo Sang-Kyung
Cho Won-Yong
Kim Hyung-Kyu
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Abstract
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A 27-year-old woman presented with severe hypertension and nephrotic range proteinuria. She had a blunt renal trauma 4 weeks ago and was treated by the left main renal artery ligation. The plasma renin activity, angiotension II and aldosterone levels were very high and the abdominal angiography showed the occlusion of the left main renal artery with relatively preserved blood flow in upper pole of the left kidney. In captopril renal scan, relatively preserved perfusion in upper pole of left kidney was further compromised after captopril administration. The massive proteinuria and hypertension were improved after combination of ACE inhibitor and angiotensin II type 1 receptor blocker treatment.
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KEYWORD
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Hypertension, Renovascular, Proteinuria, ACE inhibitors, Angiotensin II type I receptor blockers
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