Kidney Res Clin Pract.
2014 Jun;33(2):106-108.
A case of reninoma with variant angina
- Affiliations
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- 1Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea. ohchris@hanmail.net
- 2Department of Urology, Seoul National University Hospital, Seoul, Korea.
- 3Department of Pathology and Kidney Research Institute, Seoul National University Hospital, Seoul, Korea.
- 4Department of Internal Medicine, Konkuk University Hospital, Seoul, Korea.
Abstract
- Reninoma is a tumor of the renal juxtaglomerular cell apparatus that causes hypertension and hypokalemia because of hypersecretion of renin. We present a case of a 29-year-old female patient with reninoma and concomitant variant angina. The patient had uncontrolled hypertension and elevated plasma renin activity and aldosterone levels. Imaging studies revealed a mass in the left kidney, which was further 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.
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