Pathogenetic Overlapping of Renovascular Hypertension Developed in a Child with Takayasu Arteritis: 'One-clip, One and Half-kidney Model'.
10.3339/jkspn.2016.20.1.33
- Author:
Su Jeong LEE
1
;
Hee Sun BAEK
;
Hea Min JANG
;
Hyung Kee KIM
;
Seung HUH
;
Min Hyun CHO
Author Information
1. Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea. chomh@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Pathogenesis;
Renovascular hypertension;
Takayasu arteritis;
Renin-angiotensin system
- MeSH:
Aorta, Abdominal;
Child*;
Constriction, Pathologic;
Humans;
Hypertension;
Hypertension, Renovascular*;
Kidney;
Male;
Renal Artery;
Renal Artery Obstruction;
Renin-Angiotensin System;
Takayasu Arteritis*
- From:Childhood Kidney Diseases
2016;20(1):33-36
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are two pathogenic models of renovascular hypertension (RVH) originating from renal artery stenosis. We noted a case of a boy who had severe hypertension with atrophic left kidney, hypertrophic right kidney, a segmental stricture of the abdominal aorta, and total occlusion of the right renal artery. Due to the atrophic change of the contralateral, unclipped left kidney, this patient presented with various clinical manifestations related to both models of pathogenesis of RVH occurring at the same time. We conclude that this patient presented with the middle stage of the two RVH pathogenetic models, so called the 'one-clip, one and half-kidney model.'
