Nephrotic syndrome and Giant cell arthritis concurrently occurring after percutaneous transluminal angioplasty for renal artery stenosis
| Autor: | Tetsunori Ishikawa, Yuji Sato, Kazuo Kitamura, Shouichi Fujimoto, Ryuzoh Nishizono, Yuri Ishizaki |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Nephrotic Syndrome medicine.medical_treatment Giant Cell Arteritis urologic and male genital diseases Renal artery stenosis Renal Artery Obstruction Renovascular hypertension Internal medicine medicine.artery medicine Humans Aged Kidney Aorta Proteinuria business.industry Angioplasty Percutaneous coronary intervention General Medicine medicine.disease Giant cell arteritis medicine.anatomical_structure Hypertension Renovascular Nephrology Cardiology Female medicine.symptom business Nephrotic syndrome |
| Zdroj: | Clinical nephrology. 93(6) |
| ISSN: | 0301-0430 |
| Popis: | An elderly Japanese woman with bilateral renal artery occlusion who developed massive proteinuria after unilateral percutaneous transluminal renal angioplasty (PTRA) is reported. She had a history of percutaneous coronary intervention and subsequently developed refractory hypertension. She was diagnosed with renovascular hypertension caused by bilateral total occlusion of the renal arteries, and underwent PTRA for the left renal artery. Nephrotic-range proteinuria from the left kidney, confirmed by split urine collection from each kidney under cytoscopic examination, and low-grade fever with positive C-reactive protein became obvious after PTRA. Giant cell arteritis (GCA) was also diagnosed by positive findings on fluorodeoxyglucose-positron emission tomography in the common carotid arteries, subclavian arteries, and aorta, but not in the renal arteries. Administration of corticosteroid and angiotensin-converting enzyme inhibitor decreased the proteinuria (> 9 - 2 g/day). Possible mechanisms for the development of nephrotic-range proteinuria and a hypothesis that GCA became obvious after PTRA are discussed. . |
| Databáze: | OpenAIRE |
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