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- Title
A case report of successfully treated nephrotic syndrome after renal angioplasty.
- Authors
Park, Hee Jung; Jang, Ha Nee; Cho, Hyun Seop; Chang, Se-Ho; Kim, Hyun-Jung
- Abstract
<bold>Background: </bold>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.<bold>Case Presentation: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
NEPHROTIC syndrome; FOCAL segmental glomerulosclerosis; EDEMA; RENOVASCULAR hypertension; RENAL artery; ANGIOTENSIN receptors; BLOOD pressure
- Publication
BMC Nephrology, 2019, Vol 20, Issue 1, pN.PAG
- ISSN
1471-2369
- Publication type
journal article
- DOI
10.1186/s12882-019-1503-y