[The Ask-Upmark kidney: a form of reflux nephropathy].
We present six female patients aged 14 to 47, all diagnosed histopathologically as suffering from Ask-Upmark Kidney and who had clinical manifestations of severe arterial tension associated with urinary infection in four cases. Mictional Cystourethrography was carried out in all cases, and four of them displayed vesicoureteral reflux in the small kidney. Although this pathology has classically been considered a congenital malformation in the context of renal hypoplasias (segmental hypoplasia), the observation of glomerular traces with PAS staining in the renal segments regarded classically as "aglomerular" and the frequent association of this pathology with vesicoureteral reflux point significantly towards Ask-Upmark Kidney being a form of reflux nephropathy. Nephrectomy cured the arterial hypertension in half the cases, and the factors with prognostic importance in this respect are commented upon.
Gil Salóm
M
M
Servicio de Urología (Departamento de Cirugía), Hospital Clínico Universitario, Facultad de Medicina, Valencia.
Chuan Nuez
P
P
Hernández Marco
R
R
Nuñez
F
F
Morell Quadreny
L
L
Clar Blanch
F
F
Carretero González
P
P
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology*; D007668:Kidney / Q000002:abnormalities*; D007678:Kidney Glomerulus; D008875:Middle Aged; D011859:Radiography; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging / Q000209:etiology*
El riñón de ASK-Upmark: una forma de nefropatía del reflujo.