Renal artery occlusion and malignant hypertension in polycystic kidney disease.
A patient with polycystic kidneys is presented, in whom obliteration of a renal artery led to the development of high renin malignant hypertension. During chronic hemodialysis 3 years later the patient had normal renin values and the blood pressure became volume-dependent. It is concluded that the occurrence of malignant hypertension and/or elevated renin values in patients with polycystic kidney disease should lead to the search for a coexisting renal artery stenosis or occlusion.
D006801:Humans; D006974:Hypertension, Malignant / Q000209:etiology*; D006977:Hypertension, Renal / Q000209:etiology; D008297:Male; D008875:Middle Aged; D007690:Polycystic Kidney Diseases / Q000150:complications*; D012078:Renal Artery Obstruction / Q000150:complications / Q000209:etiology*