A case of reninoma with variant angina.
- Author:
Hyung Ah JO
1
;
Cheol KWAK
;
Kyung Chul MOON
;
Jong Ho LEE
;
Jung Hwan PARK
;
Sunhwa LEE
;
Hyuk HUH
;
Yongjin YI
;
Hyunjin RYU
;
Kook Hwan OH
Author Information
1. Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea. ohchris@hanmail.net
- Publication Type:Case Report
- Keywords:
Kidney neoplasms;
Renin;
Unstable angina
- MeSH:
Adult;
Aldosterone;
Angina, Unstable;
Blood Pressure;
Catheterization;
Catheters;
Chest Pain;
Female;
Humans;
Hypertension;
Hypokalemia;
Kidney;
Kidney Neoplasms;
Nephrectomy;
Plasma;
Renin
- From:Kidney Research and Clinical Practice
2014;33(2):106-108
- CountryRepublic of Korea
- Language:English
-
Abstract:
Reninoma is a tumor of the renal juxtaglomerular cell apparatus that causes hypertension and hypokalemia because of hypersecretion of renin. We present a case of a 29-year-old female patient with reninoma and concomitant variant angina. The patient had uncontrolled hypertension and elevated plasma renin activity and aldosterone levels. Imaging studies revealed a mass in the left kidney, which was further confirmed as a renin-producing lesion via selective venous catheterization. During the evaluation, the patient had acute-onset chest pain that was diagnosed as variant angina after a provocation test. After partial nephrectomy, the plasma renin activity and plasma aldosterone levels decreased and blood pressure normalized. We report a case of reninoma with variant angina.
