Idiopathic granulomatous nephritis in a patient with hypertension and an atrophic kidney.
A patient with hypertension and an abnormal urinalysis was found on intravenous pyelography to have a small nonfunctioning left kidney. An arteriogram showed no renal artery stenosis but the renal vein renin from the small kidney was four times higher than that from the right kidney. A left nephrectomy was performed and the left kidney was found to be infiltrated with noncaseating granulomas. There was no evidence of a systemic granulomatous disease. 2 similar cases are cited. Idiopathic granulomatous nephritis is an apparently rare condition whose relationship to other granulomatous diseases is unclear.
D000328:Adult; D001284:Atrophy; D003937:Diagnosis, Differential; D006099:Granuloma / Q000150:complications* / Q000473:pathology; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology*; D007668:Kidney / Q000473:pathology*; D007674:Kidney Diseases / Q000150:complications* / Q000473:pathology; D008297:Male; D009392:Nephrectomy; D014567:Urography