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Unusual Case of Posterior Reversible Encephalopathy Syndrome in a Patient with Anti-glomerular Basement Membrane Antibody Glomerulonephritis: A Case Report and Review of the Literature. 抗肾小球基底膜抗体肾小球肾炎患者异常后可逆脑病综合征1例报告及文献复习。
Electrolyte and Blood Pressure Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.5049/EBP.2017.15.1.12
Boram Cha, Dae Young Kim, Hyunil Jang, Seun Deuk Hwang, Huck Jei Choi, Moon-Jae Kim
{"title":"Unusual Case of Posterior Reversible Encephalopathy Syndrome in a Patient with Anti-glomerular Basement Membrane Antibody Glomerulonephritis: A Case Report and Review of the Literature.","authors":"Boram Cha,&nbsp;Dae Young Kim,&nbsp;Hyunil Jang,&nbsp;Seun Deuk Hwang,&nbsp;Huck Jei Choi,&nbsp;Moon-Jae Kim","doi":"10.5049/EBP.2017.15.1.12","DOIUrl":"https://doi.org/10.5049/EBP.2017.15.1.12","url":null,"abstract":"<p><p>Posterior reversible encephalopathy syndrome (PRES) is characterized by a clinical and radiological entity with the sudden onset of seizures, headache, altered consciousness, and visual disturbances in patients with the findings of reversible vasogenic subcortical edema without infarction. Hypertension, renal disease, and autoimmune disease are co-morbid conditions of PRES. Nevertheless, there have only been a few case reports of PRES in a patient with anti-glomerular basement membrane antibody glomerulonephritis (anti-GBM GN). This paper presents the possible first Korean case of a 36-year-old woman with the striking features of PRES. She presented with a sudden onset of visual blindness, headache, and seizure. The brain MRI images revealed hyperintense lesions in both the occipital and parietal lobes, which suggested vasogenic edema. Three months before this presentation, she was diagnosed with anti-GBM GN. Since then, she underwent immunosuppression with cyclophosphamide and steroid, and hemodialysis for renal failure with a treatment of anti-GBM GN.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"15 1","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2017.15.1.12","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35519436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Renal Tubular Acidosis in Patients with Primary Sjögren's Syndrome. 原发性Sjögren综合征患者肾小管酸中毒。
Electrolyte and Blood Pressure Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.5049/EBP.2017.15.1.17
Su Woong Jung, Eun Ji Park, Jin Sug Kim, Tae Won Lee, Chun Gyoo Ihm, Sang Ho Lee, Ju-Young Moon, Yang Gyun Kim, Kyung Hwan Jeong
{"title":"Renal Tubular Acidosis in Patients with Primary Sjögren's Syndrome.","authors":"Su Woong Jung,&nbsp;Eun Ji Park,&nbsp;Jin Sug Kim,&nbsp;Tae Won Lee,&nbsp;Chun Gyoo Ihm,&nbsp;Sang Ho Lee,&nbsp;Ju-Young Moon,&nbsp;Yang Gyun Kim,&nbsp;Kyung Hwan Jeong","doi":"10.5049/EBP.2017.15.1.17","DOIUrl":"https://doi.org/10.5049/EBP.2017.15.1.17","url":null,"abstract":"<p><p>Primary Sjögren's syndrome (pSS) is characterized by lymphocytic infiltration of the exocrine glands resulting in decreased saliva and tear production. It uncommonly involves the kidneys in various forms, including tubulointerstitial nephritis, renal tubular acidosis, Fanconi syndrome, and rarely glomerulonephritis. Its clinical symptoms include muscle weakness, periodic paralysis, and bone pain due to metabolic acidosis and electrolyte imbalance. Herein, we describe the cases of two women with pSS whose presenting symptoms involve the kidneys. They had hypokalemia and normal anion gap metabolic acidosis due to distal renal tubular acidosis and positive anti-SS-A and anti-SS-B autoantibodies. Since one of them experienced femoral fracture due to osteomalacia secondary to renal tubular acidosis, an earlier diagnosis of pSS is important in preventing serious complications.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"15 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2017.15.1.17","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35519438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Vitamin D and Hypertension. 维生素D和高血压
Electrolyte and Blood Pressure Pub Date : 2017-09-01 Epub Date: 2017-09-30 DOI: 10.5049/EBP.2017.15.1.1
Hye Yun Jeong, Kyung Mi Park, Mi Jung Lee, Dong Ho Yang, Sang Hoon Kim, So-Young Lee
{"title":"Vitamin D and Hypertension.","authors":"Hye Yun Jeong,&nbsp;Kyung Mi Park,&nbsp;Mi Jung Lee,&nbsp;Dong Ho Yang,&nbsp;Sang Hoon Kim,&nbsp;So-Young Lee","doi":"10.5049/EBP.2017.15.1.1","DOIUrl":"https://doi.org/10.5049/EBP.2017.15.1.1","url":null,"abstract":"<p><p>Vitamin D has the pleiotropic effects in multiple organ systems, and vitamin D deficiency was suggested to be associated with high blood pressure according to previous reports. Several interventional studies have examined the effect of vitamin D supplementation on high blood pressure patients, but the results have been inconsistent. In this article, we examined the literature that have proposed a mechanism involving vitamin D in the regulation of blood pressure and review previous observational and interventional studies that have shown the relationship between vitamin D and hypertension among various populations.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"15 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2017.15.1.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35519437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 55
Severe Hypernatremia Caused by Acute Exogenous Salt Intake Combined with Primary Hypothyroidism. 急性外源性盐摄入合并原发性甲状腺功能减退所致严重高钠血症。
Electrolyte and Blood Pressure Pub Date : 2016-12-01 Epub Date: 2016-12-31 DOI: 10.5049/EBP.2016.14.2.27
Woo Jin Jung, Su Min Park, Jong Man Park, Harin Rhee, Il Young Kim, Dong Won Lee, Soo Bong Lee, Eun Young Seong, Ihm Soo Kwak, Sang Heon Song
{"title":"Severe Hypernatremia Caused by Acute Exogenous Salt Intake Combined with Primary Hypothyroidism.","authors":"Woo Jin Jung,&nbsp;Su Min Park,&nbsp;Jong Man Park,&nbsp;Harin Rhee,&nbsp;Il Young Kim,&nbsp;Dong Won Lee,&nbsp;Soo Bong Lee,&nbsp;Eun Young Seong,&nbsp;Ihm Soo Kwak,&nbsp;Sang Heon Song","doi":"10.5049/EBP.2016.14.2.27","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.2.27","url":null,"abstract":"<p><p>This report describes a case of severe hypernatremia with a serum sodium concentration of 188.1mmol/L caused by exogenous salt intake. A 26-year-old man diagnosed with Crohn's disease 5 years previously visited our clinic due to generalized edema and personality changes, with aggressive behavior. He had compulsively consumed salts, ingesting approximately 154 g of salt over the last 4 days. Despite careful fluid management that included not only hypotonic fluid therapy for 8 hours but also hypertonic saline administration, his serum sodium level decreased sharply at 40.6 mmol/L; however, it returned to normal within 72-hour of treatment without any neurological deficits. Primary hypothyroidism was also diagnosed. He was discharged after 9 days from admission, with a stable serum sodium level. We have described the possibility of successful treatment in a patient with hypernatremia caused by acute salt intoxication without sustained hypotonic fluid therapy.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 2","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.2.27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34796451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
A Case of Isolated Glycosuria Mediated by an SLC5A2 Gene Mutation and Characterized by Postprandial Heavy Glycosuria Without Salt Wasting. SLC5A2基因突变介导的分离性糖尿1例,以餐后重糖尿无盐消耗为特征。
Electrolyte and Blood Pressure Pub Date : 2016-12-01 Epub Date: 2016-12-31 DOI: 10.5049/EBP.2016.14.2.35
Kyeong Min Kim, Soon Kil Kwon, Hye-Young Kim
{"title":"A Case of Isolated Glycosuria Mediated by an <i>SLC5A2</i> Gene Mutation and Characterized by Postprandial Heavy Glycosuria Without Salt Wasting.","authors":"Kyeong Min Kim,&nbsp;Soon Kil Kwon,&nbsp;Hye-Young Kim","doi":"10.5049/EBP.2016.14.2.35","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.2.35","url":null,"abstract":"<p><p>Familial renal glycosuria (FRG) is an inherited disorder characterized by persistent glycosuria in the absence of hyperglycemia. It is caused by mutations in the sodium-glucose co-transporter, leading to increase in the renal excretion of glucose and sodium. However, there have been no studies on the role of fasting and postprandial changes in the urinary sodium excretion in patients with FRG. We report a case of renal glycosuria, which was confirmed by a <i>SLC5A2</i> mutation via gene sequencing, and compared the postprandial urinary glucose and sodium excretion. A 26-year-old man sometimes experienced glycosuria on routine screening; however, other laboratory findings were normal. His fasting and postprandial urinary glucose excretion levels were 295mg/dL and 2,170mg/dL, respectively. The fasting and postprandial urinary sodium excretion levels were 200mEq/L and 89mEq/L, respectively. In patients with FRG, excessive diuresis might be prevented by a compensatory mechanism that reduces postprandial sodium excretion.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 2","pages":"35-37"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.2.35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34796453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A Case Report of Syndrome of Inappropriate Antidiuretic Hormone Induced by Pregabalin. 普瑞巴林致抗利尿激素不适宜综合征1例报告。
Electrolyte and Blood Pressure Pub Date : 2016-12-01 Epub Date: 2016-12-31 DOI: 10.5049/EBP.2016.14.2.31
Youn Joo Jung, Dong-Young Lee, Hae Won Kim, Hyun Sun Park, Beom Kim
{"title":"A Case Report of Syndrome of Inappropriate Antidiuretic Hormone Induced by Pregabalin.","authors":"Youn Joo Jung,&nbsp;Dong-Young Lee,&nbsp;Hae Won Kim,&nbsp;Hyun Sun Park,&nbsp;Beom Kim","doi":"10.5049/EBP.2016.14.2.31","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.2.31","url":null,"abstract":"<p><p>The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the most common cause of euvolemic hyponatremia, and many medications have been associated with SIADH. Pregabalin is a drug used for the treatment of neuropathic pain, though common adverse effects include central nervous system disturbance, peripheral edema, and weight gain. However, hyponatremia caused by pregabalin has been rarely reported. Here we report a patient with pregabalin-induced hyponatremia who met the criteria for SIADH; after discontinuation of the drug, his condition rapidly improved. This case can help clinicians diagnose and treat new-onset hyponatremia in patients who recently initiated pregabalin therapy.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 2","pages":"31-34"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.2.31","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34796452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Genetic Variations of Tyrosine Hydroxylase in the Pathogenesis of Hypertension. 酪氨酸羟化酶在高血压发病机制中的遗传变异。
Electrolyte and Blood Pressure Pub Date : 2016-12-01 Epub Date: 2016-12-31 DOI: 10.5049/EBP.2016.14.2.21
Yu Ho Lee, Yang Gyun Kim, Ju-Young Moon, Jin Sug Kim, Kyung-Hwan Jeong, Tae Won Lee, Chun-Gyoo Ihm, Sang Ho Lee
{"title":"Genetic Variations of Tyrosine Hydroxylase in the Pathogenesis of Hypertension.","authors":"Yu Ho Lee,&nbsp;Yang Gyun Kim,&nbsp;Ju-Young Moon,&nbsp;Jin Sug Kim,&nbsp;Kyung-Hwan Jeong,&nbsp;Tae Won Lee,&nbsp;Chun-Gyoo Ihm,&nbsp;Sang Ho Lee","doi":"10.5049/EBP.2016.14.2.21","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.2.21","url":null,"abstract":"<p><p>One of the major pathophysiological features of primary hypertension is an inappropriate activation of the sympathetic nervous system, which is mediated by excessive synthesis and secretion of catecholamine into the blood. Tyrosine hydroxylase (TH), a rate-limiting enzyme in the synthesis of catecholamine, has been highlighted because genetic variations of <i>TH</i> could alter the activity of the sympathetic nervous system activity and subsequently contribute to the pathogenesis of hypertension. Here, we discuss the role of TH as a regulator of sympathetic activity and review several studies that investigated the relationship between genetic variations of <i>TH</i> and hypertension.</p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 2","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.2.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34796514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
A Rare Case of Polyneuropathy and Monoclonalgammopathy with Recurrent Acute Kidney Injury. 罕见的多发性神经病变和单克隆神经症并发复发性急性肾损伤1例。
Electrolyte and Blood Pressure Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.5049/EBP.2016.14.1.5
Eun Jung Kim, Dong Ho Shin, Hee Jung Jeon, So Yon Rhee, Eun Sook Nam, Ji Young Park, Jieun Oh
{"title":"A Rare Case of Polyneuropathy and Monoclonalgammopathy with Recurrent Acute Kidney Injury.","authors":"Eun Jung Kim,&nbsp;Dong Ho Shin,&nbsp;Hee Jung Jeon,&nbsp;So Yon Rhee,&nbsp;Eun Sook Nam,&nbsp;Ji Young Park,&nbsp;Jieun Oh","doi":"10.5049/EBP.2016.14.1.5","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.1.5","url":null,"abstract":"<p><p>POEMS syndrome is a rare paraneoplastic syndrome and there are few reports of polyneuropathy and monoclonal gammopathy associated with kidney dysfunction. Here, we report a case of POEMS syndrome with recurrent acute kidney injury (AKI). A 52-year-old man presented with bilateral aggravating paresthesia and latermotor weakness of the lower extremities accompanied by repeated elevation of serum creatinine. The patient was finally diagnosed with POEMS syndrome on the basis of fulfilling the two mandatory major criteria (polyneuropathy and monoclonal gammopathy), one other major criterion (sclerotic bone lesion), and several minor criteria. A renal biopsy was performed to clarify the cause of AKI and showed membranoproliferative glomerulonephritis-like lesions with mesangiolysis and endothelial cell injury. This case illustrates that renal manifestations, not included in the diagnostic criteria for POEMS, can be apparent before various other systemic symptoms. </p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 1","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.1.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34700801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A Pedigree with c.179 Cytosine to Threonine Missense Mutation of SLC12A3 Gene Presenting Gitelman's Syndrome. 带有c.179的血统SLC12A3基因胞嘧啶到苏氨酸错义突变表现为吉特曼综合征。
Electrolyte and Blood Pressure Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.5049/EBP.2016.14.1.16
Yaerim Kim, Seong Sik Kang, Woo Yeong Park, Kyubok Jin, Dae-Kwang Kim, Seungyeup Han
{"title":"A Pedigree with c.179 Cytosine to Threonine Missense Mutation of SLC12A3 Gene Presenting Gitelman's Syndrome.","authors":"Yaerim Kim,&nbsp;Seong Sik Kang,&nbsp;Woo Yeong Park,&nbsp;Kyubok Jin,&nbsp;Dae-Kwang Kim,&nbsp;Seungyeup Han","doi":"10.5049/EBP.2016.14.1.16","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.1.16","url":null,"abstract":"<p><p>A 42-year-old man came to the hospital presenting chest discomfort and general weakness. He had come to the hospital with the same symptoms 3 months ago and 12 years prior. His laboratory test showed hypokalemia, hypomagnesemia and hypocalciuria. The arterial blood gas analysis showed hypochloremic metabolic alkalosis. He had an ultrasonography guided renal biopsy, the result was normal at light microscopy and immunofluorescence microscopy. However, a special stain for Na-Cl cotransporter was weakly expressed compared with the control. The patient and his family underwent genetic sequencing about the SLC12A3 gene. He had a homozygous mutation in the 179(th) nucleotide of Exon 1 on the SLC12A3 gene (p.Thr60Met) and his parents and sisters were diagnosed as carrier state of Gitelman's syndrome (GS). GS is an inherited tubular disorder which presents mild hypokalemia, hypomagnesemia and hypocalciuria. Since the symptoms and laboratory results are not severe, it can go unnoticed by physicians. Herein we present a family with GS, diagnosed by genetic sequencing. </p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 1","pages":"16-9"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.1.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34310347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Hypokalemic Hypertension Leading to a Diagnosis of Autosomal Dominant Polycystic Kidney Disease. 低钾血症高血压导致常染色体显性多囊肾病的诊断。
Electrolyte and Blood Pressure Pub Date : 2016-06-01 Epub Date: 2016-06-30 DOI: 10.5049/EBP.2016.14.1.11
Wasawat Vutthikraivit, Montira Assanatham, Chutintorn Sriphrapradang
{"title":"Hypokalemic Hypertension Leading to a Diagnosis of Autosomal Dominant Polycystic Kidney Disease.","authors":"Wasawat Vutthikraivit,&nbsp;Montira Assanatham,&nbsp;Chutintorn Sriphrapradang","doi":"10.5049/EBP.2016.14.1.11","DOIUrl":"https://doi.org/10.5049/EBP.2016.14.1.11","url":null,"abstract":"<p><p>Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited renal disease. Hypertension is common and occurs before decline in renal function. However, the coexistence of hypertension and hypokalemia is rare in ADPKD patients. We report on a 32-year-old woman with secondary aldosteronism. Magnetic resonance imaging of the renal arteries revealed multiple cysts of varying sizes in both the kidneys and the liver, compatible with ADPKD. Increased reninangiotensin-aldosterone system activity was secondary to cyst expansion. After initiation of angiotensin II receptor blocker, her blood pressure was controlled without additional requirement of potassium. </p>","PeriodicalId":35352,"journal":{"name":"Electrolyte and Blood Pressure","volume":"14 1","pages":"11-5"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5049/EBP.2016.14.1.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34310345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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