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Hypertension Due to Renal Tuberculosis: Assessment by Renal Vein Renin Sampling
Author(s) -
Stockigt J. R.,
Challis D. R.,
Mirams J. A.
Publication year - 1976
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1976.tb03660.x
Subject(s) - medicine , renal vein , renin–angiotensin system , tuberculosis , plasma renin activity , kidney , cardiology , intensive care medicine , blood pressure , pathology
Summary: Hypertension due to renal Tuberculosis: Assessment by renal vein renin sampling. J. R. Stockigt, D. R. Challis and J. A. Mirams A 36‐year‐old man with asymptomatic hypertension was shown to have destruction of the right kidney due to renal tuberculosis. The peripheral renin level was normal, but renal vein renin sampling showed predominant renin secret/on from the right kidney both in basal samples and after acute stimulation of renin re/ease with intravenous diazoxide. Nephrectomy has resulted in marked reduction of blood pressure without treatment one year after operation. The findings support the predictive value of renal vein renin sampling when hypertension is associated with renal parenchymal disease, even when peripheral renin is normal.