A case of renovascular hypertension associated with neurofibromatosis

Kouichi Hirayama, Masaki Kobayashi, Naoto Yamaguchi, Satoshi Iwabuchi, Michihiro Gotoh, Chie Inoue, Satsuki Yamada, Hitoshi Ebata, Hiroshi Ishida, Akio Koyamaa

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

We report a case of renovascular hypertension associated with neurofibromatosis complicated by moderate proteinuria. A 16-year-old female was admitted to Kensei General Hospital with a complaint of headache and a blood pressure of 230/120 mm Hg. She was referred to us for further evaluation of the hypertension. On examination, cafe-au-lait spots were seen over her extremities and flank, and a bruit was heard in the right upper abdomen. The urinary protein excretion was 2.1 g/day. The plasma renin activity (PRA) and plasma aldosterone concentration were high, but the levels of catecholamines were normal. The renogram was asymmetric and on venous sampling, the PRA in the right renal vein was 58.3 ng/ml/h and that in the left was 22.1 ng/ml/h. CT scan detected an approximately 10-mm mass in the proximal right renal artery. Arteriography disclosed severe stenosis in the right renal artery and the superior mesenteric artery. Therefore, we concluded that her hypertension resulted from stenosis of the right renal artery due to neurofibromatosis. Accordingly, she underwent an operation to reconstruct that artery. After the operation, her blood pressure and PRA normalized without administration of any anti-hypertensive drug and urinary protein disappeared.

Original languageEnglish (US)
Pages (from-to)699-704
Number of pages6
JournalNephron
Volume72
Issue number4
DOIs
StatePublished - Jan 1 1996

Keywords

  • Neurofibromatosis
  • Proteinuria Reconstruction
  • Renovascular hypertension

ASJC Scopus subject areas

  • Physiology
  • Nephrology
  • Physiology (medical)
  • Urology

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  • Cite this

    Hirayama, K., Kobayashi, M., Yamaguchi, N., Iwabuchi, S., Gotoh, M., Inoue, C., Yamada, S., Ebata, H., Ishida, H., & Koyamaa, A. (1996). A case of renovascular hypertension associated with neurofibromatosis. Nephron, 72(4), 699-704. https://doi.org/10.1159/000188966