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Park HJ, Jang HN, Cho HS, Chang SH, Kim HJ. A case report of successfully treated nephrotic syndrome after renal angioplasty. BMC Nephrol 2019; 20:305. [PMID: 31387536 PMCID: PMC6685235 DOI: 10.1186/s12882-019-1503-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 07/29/2019] [Indexed: 11/12/2022] Open
Abstract
Background The standard treatment of renovascular hypertension accompanying renal artery stenosis (RAS) consists of angioplasty and administration of antihypertensive medication. Although nephrotic syndrome (NS) has been reported to be associated with RAS, the development of NS after revascularization of RAS is extremely rare. Case presentation A 48-year-old man presented with uncontrolled hypertension and azotemia. The right kidney was atrophic, and RAS of the left kidney was suspected based on a post-captopril DTPA scan. His blood pressure stabilized after renal angioplasty; however, he complained of edema after 1 week. NS developed and was diagnosed as focal segmental glomerulosclerosis (FSGS) based on renal biopsy. He received an angiotensin receptor blocker. Proteinuria resolved after 1 year. Conclusions FSGS rarely develops after angioplasty of renal artery stenosis. This is the first report of successful treatment of this condition using an angiotensin receptor blocker during 1-year follow-up.
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Affiliation(s)
- Hee Jung Park
- Division of Nephrology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, South Korea
| | - Ha Nee Jang
- Division of Nephrology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, South Korea
| | - Hyun Seop Cho
- Division of Nephrology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, South Korea.,Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, South Korea.,Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea
| | - Se-Ho Chang
- Division of Nephrology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, South Korea.,Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, South Korea.,Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea
| | - Hyun-Jung Kim
- Division of Nephrology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, South Korea. .,Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, South Korea. .,Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea.
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Almirall J, Mendez I, Comet R, Andreu X. Nephrotic syndrome after renal percutaneous transluminal angioplasty. Nephrol Dial Transplant 2000; 15:1696-9. [PMID: 11007846 DOI: 10.1093/ndt/15.10.1696] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Almirall
- Nephrology Unit and. Pathology Service, Corporació Sanitaria Parc Taulí, Sabadell, Spain
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