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KMID : 0359920140330020106
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Korean Journal of Nephrology
2014 Volume.33 No. 2 p.106 ~ p.108
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A case of reninoma with variant angina
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Jo Hyung-Ah
Kwak Cheol
Moon Kyung-Chul
Lee Jong-Ho
Park Jung-Hwan
Lee Sun-Hwa
Huh Hyuk
Yi Yong-Jin
Ryu Hyun-Jin
Oh Kook-Hwan
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Abstract
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Reninoma is a tumor of the renal juxtaglomerular cell apparatus that causeshypertension and hypokalemia because of hypersecretion of renin. We present acase of a 29-year-old female patient with reninoma and concomitant variant angina.
The patient had uncontrolled hypertension and elevated plasma renin activity andaldosterone levels. Imaging studies revealed a mass in the left kidney, which wasfurther confirmed as a renin-producing lesion via selective venous catheterization.During the evaluation, the patient had acute-onset chest pain that was diagnosed as variant angina after a provocation test. After partial nephrectomy, the plasma renin activity and plasma aldosterone levels decreased and blood pressure normalized. We report a case of reninoma with variant angina.
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KEYWORD
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Kidney neoplasms, Renin, Unstable angina
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