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| 수술로 교정된 단측성 만성 위축성 신우염에 의한 신성고혈압 1예 |
| 이명석 , 김주현 , 김우주 , 변관수 , 김형규 , 원남희 , 조재흥 |
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| Abstract |
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Renal hypertension that is classified to renova- scular 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-yr-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 Cyst- oseopy. After removal of the left atrophic and scarred kidney under the diagnosis of renal paren-chymal hypertension due to chronic atrophic pye- lonephritis, 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 hy- pertension that was treated by the nephrectomy with reviewing some Iiteratures. |
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