Hypertension, hyperreninemia and a solitary renal cyst in an adolescent.
Solitary renal cysts associated with hypertension and documented hyperreninemia are relatively uncommon. A 13 year old boy with these findings is described (pressure 160/120 mm Hg). Contrast studies of the urinary tract and arteriography with selective renal vein sampling demonstrated a solitary cyst in the right kidney. The ratio of plasma renin activity in the right renal vein to left renal vein (RRV:LRV) was 2.35:1. After drainage of the cyst, there was a marked reduction in both systolic and diastolic pressures (126/84 mm Hg). Hypertension has not recurred during 14 months' follow-up.
D000293:Adolescent; D004322:Drainage; D006801:Humans; D006973:Hypertension / Q000150:complications*; D052177:Kidney Diseases, Cystic / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D011859:Radiography; D012075:Remission, Spontaneous; D012083:Renin / Q000097:blood*
D012083:Renin