卡托普利 DMSA 有助于确定一名原本健康的 5 岁女孩患严重高血压的原因。

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2024-11-27 DOI:10.1097/RLU.0000000000005600

Anastasios Serbis, Spyridon Tsiouris, Efstathios Stefos, Elias N Brountzos, Ekaterini Siomou

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引用次数: 0

摘要

摘要：年幼儿童的高血压通常继发于各种疾病。一名原本健康的 5 岁女孩被诊断为高血压 2 期。她没有个人和家族病史，体格检查正常。血液化验显示肾素强烈升高，醛固酮略有升高，这表明是血管重建引起的。不过，彩色多普勒超声、CT 和 MR 血管造影检查均正常。在有卡托普利和没有卡托普利的情况下进行了DMSA肾脏扫描，结果提示右肾内节段动脉分支狭窄，并通过动脉造影进行了矫正。卡托普利DMSA有助于定位较小的肾内动脉分支狭窄。

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Captopril DMSA Contribution in the Identification of the Cause of Severe Hypertension in an Otherwise Healthy 5-Year-Old Girl.

Abstract: Hypertension in younger children is usually secondary to various disorders. A previously healthy 5-year-old girl was diagnosed with stage 2 hypertension. Her personal and family history was noncontributory, and she was normal on physical examination. Blood tests revealed a strongly elevated renin and slightly increased aldosterone, suggesting a renovascular cause. Nevertheless, color Doppler ultrasound, CT, and MR angiography were normal. A DMSA renal scan with and without captopril was performed with results suggestive of a right intrarenal segmental artery branch stenosis, which was corrected with arteriography. A captopril DMSA can be helpful in localizing smaller intrarenal artery branch stenoses.

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.