A case of reninoma with variant angina
´ëÇѽÅÀåÇÐȸÁö 2014³â 33±Ç 2È£ p.106 ~ p.108
Á¶Çü¾Æ(Jo Hyung-Ah) - Seoul National University Hospital Department of Internal Medicine
°ûö(Kwak Cheol) - Seoul National University Hospital Department of Urology
¹®°æö(Moon Kyung-Chul) - Seoul National University Hospital Department of Pathology
ÀÌÁ¾È£(Lee Jong-Ho) - Konkuk University Hospital Department of Internal Medicine
¹ÚÁßȯ(Park Jung-Hwan) - Konkuk University Hospital Department of Internal Medicine
À̼±È(Lee Sun-Hwa) - Seoul National University Hospital Department of Internal Medicine
ÇãÇõ(Huh Hyuk) - Seoul National University Hospital Department of Internal Medicine
ÀÌ¿ëÁø(Yi Yong-Jin) - Seoul National University Hospital Department of Internal Medicine
·ùÇöÁø(Ryu Hyun-Jin) - Seoul National University Hospital Department of Internal Medicine
¿À±¹È¯(Oh Kook-Hwan) - Seoul National University Hospital Department of Internal Medicine
Abstract
Reninoma is a tumor of the renal juxtaglomerular cell apparatus that causeshypertension and hypokalemia because of hypersecretion of renin. We present acase of a 29-year-old female patient with reninoma and concomitant variant angina.
The patient had uncontrolled hypertension and elevated plasma renin activity andaldosterone levels. Imaging studies revealed a mass in the left kidney, which wasfurther confirmed as a renin-producing lesion via selective venous catheterization.During the evaluation, the patient had acute-onset chest pain that was diagnosed as variant angina after a provocation test. After partial nephrectomy, the plasma renin activity and plasma aldosterone levels decreased and blood pressure normalized. We report a case of reninoma with variant angina.
Å°¿öµå
Kidney neoplasms, Renin, Unstable angina
KMID :
0359920140330020106
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