[Acute renal failure after the administration of enalapril as presentation form of Takayasu's arteritis].
The case of a 19 year old patient with Takayasu arteritis with exclusive involvement of the abdominal aorta and without involvement of the renal arteries who presented severe arterial hypertension during the acute phase of the disease is referred. The administration of a dose of 20 mg of enalapril maleate was followed in less than 24 hours by lameness of the lower limbs and acute oligoanuric renal failure, both of which were reversible after discontinuation of the drug. During the inflammatory phase of the disease, treatment with high doses of prednisone was effective in the control of the general symptoms and the biologic parameters of inflammation. Surgical revascularization was successfully carried out 5 months after diagnosis. Two years later the patient continues to be normotense and asymptomatic.
Górriz
J L
JL
Servicio de Nefrología, Hospital Universitario La Fe, Valencia.
Sánchez
P
P
Moll
J L
JL
Prieto
M
M
Orero
E
E
Cruz
J M
JM
D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D004656:Enalapril / Q000009:adverse effects*; D005260:Female; D006801:Humans; D013625:Takayasu Arteritis / Q000150:complications* / Q000175:diagnosis
D004656:Enalapril
Insuficiencia renal aguda tras la administración de enalapril como forma de presentación de la arteritis de Takayasu.