کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3891644 1250050 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Renal artery stenosis presenting with nephrotic-range proteinuria: a case report
ترجمه فارسی عنوان
بروز تنگی عروق کلیه با پروتئینوری در محدوده نفروتیک: گزارش یک مورد
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
چکیده انگلیسی

Renal artery stenosis (RAS) is commonly presented with hypertension and chronic kidney disease. We report a rare case of RAS occurring in a 78-year-old man who presented with nephrotic-range proteinuria. Renal biopsy on the left side was performed, and results showed mesangiopathic glomerulonephritis, which was not compatible with the cause of nephrotic-range proteinuria. Proteinuria was decreased by angiotensin receptor blocker, but azotemia was aggravated. Therefore, angiotensin receptor blocker was discontinued inevitably and thorough evaluation for the possibility of RAS was performed. Computed tomography angiography revealed significant RAS on the left side and a renal artery stent was inserted. After stenting, aortic dissection developed and progressed despite tight control of blood pressure. After inserting another stent graft through the true lumen of the left renal artery, the patient's renal function and proteinuria improved markedly.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Kidney Research and Clinical Practice - Volume 35, Issue 2, June 2016, Pages 119–122
نویسندگان
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