Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report
Here, we present the case of a 2-month-old male infant with hyponatremic hypertensive syndrome resulting from stenosis of the right proximal and mid-renal arteries. The patient exhibited nephrotic-range proteinuria, low serum albumin, increased serum creatinine, and elevated renin and aldosterone le...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Pediatric Nephrology
2023-12-01
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| Series: | Childhood Kidney Diseases |
| Subjects: | |
| Online Access: | http://chikd.org/upload/pdf/ckd-23-017.pdf |
| _version_ | 1797311394896412672 |
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| author | Dabin Kim Yo Han Ahn Hee Gyung Kang Ji Hyun Kim Seon Hee Lim |
| author_facet | Dabin Kim Yo Han Ahn Hee Gyung Kang Ji Hyun Kim Seon Hee Lim |
| author_sort | Dabin Kim |
| collection | DOAJ |
| description | Here, we present the case of a 2-month-old male infant with hyponatremic hypertensive syndrome resulting from stenosis of the right proximal and mid-renal arteries. The patient exhibited nephrotic-range proteinuria, low serum albumin, increased serum creatinine, and elevated renin and aldosterone levels. Doppler ultrasonography and computed tomography angiography revealed decreased vascular flow in the small right renal artery. Following a successful percutaneous balloon angioplasty, the patient experienced a decrease in blood pressure and normalization of serum electrolyte levels within a few days. However, it took 3 months for the proteinuria to resolve completely. This case is significant as it represents the first reported instance of a neonate presenting with clinical features resembling congenital nephrotic syndrome caused by renal artery stenosis that was successfully treated with percutaneous renal angioplasty. |
| first_indexed | 2024-03-08T01:58:58Z |
| format | Article |
| id | doaj.art-93b6ed884d044871b106d0c96b31b260 |
| institution | Directory Open Access Journal |
| issn | 2384-0242 2384-0250 |
| language | English |
| last_indexed | 2024-03-08T01:58:58Z |
| publishDate | 2023-12-01 |
| publisher | Korean Society of Pediatric Nephrology |
| record_format | Article |
| series | Childhood Kidney Diseases |
| spelling | doaj.art-93b6ed884d044871b106d0c96b31b2602024-02-14T07:01:36ZengKorean Society of Pediatric NephrologyChildhood Kidney Diseases2384-02422384-02502023-12-0127211712010.3339/ckd.23.017792Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case reportDabin Kim0Yo Han Ahn1Hee Gyung Kang2Ji Hyun Kim3Seon Hee Lim4 Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Republic of Korea Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Republic of Korea Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Republic of Korea Department of Pediatrics, Seoul National University College of Medicine, Seoul, Republic of Korea Department of Pediatrics, Pusan National University Children’s Hospital, Pusan National University School of Medicine, Yangsan, Republic of KoreaHere, we present the case of a 2-month-old male infant with hyponatremic hypertensive syndrome resulting from stenosis of the right proximal and mid-renal arteries. The patient exhibited nephrotic-range proteinuria, low serum albumin, increased serum creatinine, and elevated renin and aldosterone levels. Doppler ultrasonography and computed tomography angiography revealed decreased vascular flow in the small right renal artery. Following a successful percutaneous balloon angioplasty, the patient experienced a decrease in blood pressure and normalization of serum electrolyte levels within a few days. However, it took 3 months for the proteinuria to resolve completely. This case is significant as it represents the first reported instance of a neonate presenting with clinical features resembling congenital nephrotic syndrome caused by renal artery stenosis that was successfully treated with percutaneous renal angioplasty.http://chikd.org/upload/pdf/ckd-23-017.pdfcase reportscongenitalhypertensionhyponatremianephrotic syndromerenal artery stenosis |
| spellingShingle | Dabin Kim Yo Han Ahn Hee Gyung Kang Ji Hyun Kim Seon Hee Lim Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report Childhood Kidney Diseases case reports congenital hypertension hyponatremia nephrotic syndrome renal artery stenosis |
| title | Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report |
| title_full | Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report |
| title_fullStr | Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report |
| title_full_unstemmed | Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report |
| title_short | Renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2-month-old infant: a case report |
| title_sort | renal artery stenosis presenting as congenital nephrotic syndrome with hyponatremic hypertensive syndrome in a 2 month old infant a case report |
| topic | case reports congenital hypertension hyponatremia nephrotic syndrome renal artery stenosis |
| url | http://chikd.org/upload/pdf/ckd-23-017.pdf |
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