Severe polyuria and polydipsia in hyponatremic‐hypertensive syndrome associated with Wilms tumor

D’Angelo, Paolo; Catania, Serena; Zirilli, Giusy; Collini, Paola; Tropia, Serena; Perotti, Daniela; Terenziani, Monica; Spreafico, Filippo

doi:10.1002/pbc.22610

Cited by 8 publications

(1 citation statement)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(1~4.5)8 nmol/l (0.1~0.8)1222.429.51800 mg/dayHeartKidneyACEI, β blocker, CCB, spironolactonePTARecovery6 [15]M/ 7yPolydipsia, polyuria210/120NANA1142.4NANARetinaKidneyCCB, α 1 blocker NephrectomyRecovery7 [16]M/ 2y9mPolydipsia, polyuria Seizure160/12080.44 ng/ml/hr. (0.2~2.8)6861 pg/ml (10~160)1181.9NANACNSKidneyCCB, desmopressin ACEINephrectomyRecovery8 [16]F/ 1y4mPolyuria, polydipsia140/90NANA1312.6NANAKidneyCCBACEINephrectomyHypertension9 [17]M/ 9yPolyuria, polydipsia Seizure156/120NANA1243.234NACNSRetinaKidneyNitroprusside ACEI, CCBPTA with stentingHypertension10 [18]M/ 1y7mPolyuria Polydipsia Seizure248/150137 ng/ml/min (3~11)743 ng/dl (7~93)1283.224NACNSHeartKidneyNitroprusside, ACEIPTA with stentHypertension11 [19]M/ 5ySeizure236/13221.06 ng/ml/hr. (1.3~3.9)1172 ng/dl (1~16)1123.233.4 f UP/UCr 6.84CNSKidney β blocker, CCB, hydralazineProteinuriaHypertension12 [19]M/ 8yPolydipsia, polyuria Seizure184/11032.8 ng/ml/hr.…”

Section: Discussionmentioning

confidence: 99%

Unilateral renal artery stenosis presented with hyponatremic-hypertensive syndrome – case report and literature review

et al. 2019

View full text Add to dashboard Cite

Background Renal artery stenosis is one of the secondary causes of pediatric hypertension. Cases with critical unilateral renal artery stenosis manifesting with the hyponatremic hypertensive syndrome are rare and a comprehensive description of this disorder in the pediatric population is lacking in the literature. Case presentation We describe a 4-year-old boy who presented with severe hypertension, profound hyponatremia, hypokalemia, nephrotic range proteinuria, and polyuria. Distinctly, the diagnosis of hyponatremic hypertensive syndrome secondary to unilateral renal artery stenosis was confirmed in light of laboratory and radiographic findings of severe natriuresis, elevated renin, and unilateral small kidney. Two weeks following nephrectomy, there was resolution of hyponatremia, hypokalemia, nephrotic range proteinuria and hypertension. Conclusions Findings of hyponatremia, hypokalemia, hypertension, polyuria, and unilateral renal hypoplasia can be attributed to a unifying pathology of unilateral renal artery stenosis. Electronic supplementary material The online version of this article (10.1186/s12882-019-1246-9) contains supplementary material, which is available to authorized users.

show abstract