Malignant Hypertension With Intestinal Ischemia Secondary to Juxtaglomerular Cell Tumor

Libório, Alexandre Braga; Marques, Flávio de Oliveira; Testagrossa, Leonardo; Leite, Cléber Aparecido; Leitão, Aurileide Alves; Praxedes, José Nery

doi:10.1053/j.ajkd.2005.07.032

Cited by 14 publications

(11 citation statements)

References 10 publications

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“…Nine cases (11%) had persistent hypertension with an average follow-up period of 10 months (range 5-18 months) [3,9,11,23,40,45,46,52,60]. One of these cases was normotensive postoperatively, but developed persistent hypertension 1.5 years after surgery [52].…”

Section: Postoperative Resultsmentioning

confidence: 93%

“…Among 86 cases of reninomas utilizing different imaging modalities, the tumor size was in the range 0.2-9 cm in diameter with a mean diameter of 3 cm. Magnetic resonance imaging (MRI) scans were reported in 13 cases and a renal mass was noted in 12 (92%) cases [8,36,38,42,45,47,50,52,54,61,62,67,69]; of these 12, renal vein sampling was performed in six but lateralization was demonstrated in only three. Computed tomography (CT) scans were performed in 45 cases, and a renal lesion was demonstrated in all cases [4,9,11,15,18,19,21-25,27,30-32,34,35,38,40,42,43,45,47,50,51,53,54,57,59,61 -64,67, 69].…”

Section: Discussionmentioning

confidence: 95%

“…The mean duration of hypertension was 47 months (range 0-23 years; median 24 months). In four cases, hypertension was first detected during pregnancy [36,40,45,48].…”

Section: Discussionmentioning

confidence: 97%

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Reninoma: case report and literature review

Wong¹,

Hsu²,

Perlroth³

et al. 2008

Journal of Hypertension

135

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Reninoma is a tumor of the renal juxtaglomerular cell apparatus that causes hypertension and hypokalemia via hypersecretion of renin. We describe a case of reninoma and provide a review of the literature, with a discussion emphasizing the diagnostic evaluation for such patients. The subject had persistent elevation of both plasma renin activity (PRA) and aldosterone. Imaging studies revealed the presence of a lesion in the renal cortex, which was further identified as a renin-producing lesion via selective venous catheterization following administration of an angiotensin-converting enzyme inhibitor (ACE-I). Following partial nephrectomy, the PRA and plasma aldosterone levels declined rapidly and the blood pressure and potassium supplementation requirements normalized. This case demonstrates the utility of both appropriate imaging studies and selective venous catheterization following provocative administration of an ACE-I for diagnosis.

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Section: Postoperative Resultsmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 95%

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Reninoma: case report and literature review

Wong¹,

Hsu²,

Perlroth³

et al. 2008

Journal of Hypertension

135

View full text Add to dashboard Cite

show abstract

“…Because of the easy accessibility of funduscopic exams, the retinal changes play a paramount role in establishing the diagnosis, but these changes appear to be associated with obliterating endarteritis of other organs [35][36][37], particularly of the kidney, which is a common place of disease [38], as demonstrated by the reduction of filtration or by the presence of proteinuria.…”

Section: Hypertensive Retinopathy and Encephalopathymentioning

confidence: 99%

“…This endotheliitis is vascular onion-skin associated with fibrinoid necrosis and arteriolar thrombosis involving other organs such as the kidney (renal failure and/or proteinuria) [31,40], brain (posterior reversible encephalopathy) [41], gut or pancreas [35][36][37][38].…”

Section: Hypertensive Retinopathy and Encephalopathymentioning

confidence: 99%

Hypertensive Emergencies: a New Clinical Approach

Lagi

Cencetti

2014

J Hypertens

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The expression 'hypertensive urgencies' includes many diseases. The unifying features of these diseases are a high level of arterial pressure and acute distress of one or more organs. The aim of the review was to define the idea of the 'acute hypertension' as a new concept, different from 'chronic hypertension'. Acute hypertension might be related to 'organ damage' because it is the cause, the consequence or an effect of the acute stress. We compounded a narrative review which has included analyses of 373 articles. The structure of the search strategy included a literature search of PubMed, MEDLINE, Cochrane Library and Google Scholar databases. We applied the following inclusion criteria: prospective double-blind randomised controlled trials, experimental animal work studies, case-control studies and recruiting patients representative of the general sick population. In this review, the diseases included in the term 'hypertensive emergencies' share 'acute' hypertension. This is a new idea that emphasises the suddenly increased arterial pressure, irrespective of the initial arterial pressure and independent of the goals of hypertension control. The 'hypertensive emergencies' have been grouped together in three subsets: (1) diseases that result from acute hypertension that is caused by faulty regulation of the peripheral circulation (acute primary hypertension), (2) diseases that produce hypertension (acute secondary hypertension) and 3) diseases that have hypertension as an effect of the acute stress caused by the principle disease (acute associated hypertension). This review highlights a novel idea: acute hypertension is a common sign of different diseases characterised by the sudden surge of arterial pressure, so overwhelming the difference between hypertensive emergencies and urgencies. The judgment of acute hypertension is independent of the initial arterial pressure, normotension or hypertension and is linked with the transient failure of the baroreflex. Hypertensive emergencies are grouped together because all of these diseases require prompt therapy to prevent the negative outcomes of acute hypertension

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Accelerated/Malignant Hypertension

Shantsila

Lip

2018

Updates in Hypertension and Cardiovascular Protection

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Malignant Hypertension With Intestinal Ischemia Secondary to Juxtaglomerular Cell Tumor

Cited by 14 publications

References 10 publications

Reninoma: case report and literature review

Reninoma: case report and literature review

Hypertensive Emergencies: a New Clinical Approach

Accelerated/Malignant Hypertension

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