Renal artery stenosis presenting with nephrotic-range proteinuria: a case report.
10.1016/j.krcp.2015.08.006
- Author:
Subin HWANG
1
;
Jun Soo HAM
;
Keum Bit HWANG
;
Suk Hyeon JEONG
;
Sung Hae HA
;
Eun Hee KOO
;
Ghee Young KWON
;
Young Soo DO
;
Hye Ryoun JANG
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Angioplasty;
Proteinuria;
Renal artery stenosis;
Stent
- MeSH:
Aged;
Angiography;
Angioplasty;
Angiotensins;
Azotemia;
Biopsy;
Blood Pressure;
Blood Vessel Prosthesis;
Glomerulonephritis;
Humans;
Hypertension;
Proteinuria*;
Renal Artery Obstruction*;
Renal Artery*;
Renal Insufficiency, Chronic;
Stents
- From:Kidney Research and Clinical Practice
2016;35(2):119-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
