Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor

A juxtaglomerular cell tumor (JCT) is a rare, renin-secreting tumor of the kidney and can cause hypertension. JCT is pathologically benign, and resection of the tumor is curative for hypertension. We report the case of a 17-year-old girl who had hypertension and hypokalemia for 1 year. Laboratory st...

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Main Authors: Shih-Yi Lin, Wayne-Young Liu, Wen-Chi Chen, Rong-Hsing Chen
Format: Article
Language:English
Published: Elsevier 2010-03-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664610600472
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author Shih-Yi Lin
Wayne-Young Liu
Wen-Chi Chen
Rong-Hsing Chen
author_facet Shih-Yi Lin
Wayne-Young Liu
Wen-Chi Chen
Rong-Hsing Chen
author_sort Shih-Yi Lin
collection DOAJ
description A juxtaglomerular cell tumor (JCT) is a rare, renin-secreting tumor of the kidney and can cause hypertension. JCT is pathologically benign, and resection of the tumor is curative for hypertension. We report the case of a 17-year-old girl who had hypertension and hypokalemia for 1 year. Laboratory studies showed increased basal plasma renin activity, but normal serum aldosterone level. Abdominal computed tomography disclosed a 2 cm solid mass in the left kidney. However, renal vein sampling and captopril test results were equivocal. Partial nephrectomy was performed and histologic examination demonstrated typical features of JCT. Hypertension and hypokalemia completely resolved postoperatively. JCT should be considered when investigating hypertensive individuals with high plasma renin activity.
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spelling doaj.art-9f5dff1c906a4cf2b7c94217116ce6182022-12-22T00:33:33ZengElsevierJournal of the Formosan Medical Association0929-66462010-03-01109323724010.1016/S0929-6646(10)60047-2Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell TumorShih-Yi Lin0Wayne-Young Liu1Wen-Chi Chen2Rong-Hsing Chen3Department of Internal Medicine, China Medical University Hospital, China Medical University, Taichung, TaiwanDepartment of Urology, Jen Ai Hospital, Taichung, TaiwanDepartment of Urology, China Medical University Hospital, China Medical University, Taichung, TaiwanDepartment of Internal Medicine, China Medical University Hospital, China Medical University, Taichung, TaiwanA juxtaglomerular cell tumor (JCT) is a rare, renin-secreting tumor of the kidney and can cause hypertension. JCT is pathologically benign, and resection of the tumor is curative for hypertension. We report the case of a 17-year-old girl who had hypertension and hypokalemia for 1 year. Laboratory studies showed increased basal plasma renin activity, but normal serum aldosterone level. Abdominal computed tomography disclosed a 2 cm solid mass in the left kidney. However, renal vein sampling and captopril test results were equivocal. Partial nephrectomy was performed and histologic examination demonstrated typical features of JCT. Hypertension and hypokalemia completely resolved postoperatively. JCT should be considered when investigating hypertensive individuals with high plasma renin activity.http://www.sciencedirect.com/science/article/pii/S0929664610600472hypertensionjuxtaglomerular cellplasma renin activityrenin-secreting tumor
spellingShingle Shih-Yi Lin
Wayne-Young Liu
Wen-Chi Chen
Rong-Hsing Chen
Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor
Journal of the Formosan Medical Association
hypertension
juxtaglomerular cell
plasma renin activity
renin-secreting tumor
title Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor
title_full Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor
title_fullStr Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor
title_full_unstemmed Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor
title_short Secondary Hypertension due to a Renin-secreting Juxtaglomerular Cell Tumor
title_sort secondary hypertension due to a renin secreting juxtaglomerular cell tumor
topic hypertension
juxtaglomerular cell
plasma renin activity
renin-secreting tumor
url http://www.sciencedirect.com/science/article/pii/S0929664610600472
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AT wayneyoungliu secondaryhypertensionduetoareninsecretingjuxtaglomerularcelltumor
AT wenchichen secondaryhypertensionduetoareninsecretingjuxtaglomerularcelltumor
AT ronghsingchen secondaryhypertensionduetoareninsecretingjuxtaglomerularcelltumor