| 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 |
| Se-Won Oh, M.D., Sun-Chul Kim, M.D., Jin-Joo Cha, M.D., Myung-gyu Kim, M.D., Young-Seok Woo, M.D., Chang-Su Boo, M.D., Sang-Kyung Jo, M.D., Won-Yong Cho, M.D. and Hyoung-Kyu Kim, M.D. |
| Department of Internal medicine, Korea University Collage of Medicine, Korea University Medical Center, Seoul, Korea |
| 증례 : 신동맥 결찰술 후 발생한 신증후군 범위의 단백뇨를 동반한 신혈관성 고혈압: ACE 억제제와 안지오텐신 II 1형 수용체 차단제 병합요법에 의한 성공적 치료 |
| 오세원, 김선철, 차진주, 김명규, 우영석, 부창수, 조상경, 조원용, 김형규 |
| 고려대학교 의과대학 내과학교실 |
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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. |
| Key Words:
Hypertension, Renovascular, Proteinuria, ACE inhibitors, Angiotensin II type I receptor blockers |
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