Malignant hypertension with intestinal ischemia secondary to juxtaglomerular cell tumor.
Malignant hypertension is a well-defined condition associated with high blood pressure and acute target-organ damage. Although 95% of cases are secondary to essential hypertension, its etiological profile is broad. Juxtaglomerular cell tumor is a rare condition, with only approximately 65 cases reported to date. We describe a patient with malignant hypertension with acute renal failure and intestinal ischemia secondary to a juxtaglomerular cell tumor. We believe this is the first case of juxtaglomerular cell tumor causing malignant hypertension. The diagnostic approach and treatment are discussed.
Libório
Alexandre Braga
AB
Nephrology Division, Department of Pathology, University of São Paulo School of Medicine, Hospital das Clínicas, Brazil. alexandreliborio@yahoo.com.br
Marques
Flávio de Oliveira
Fde O
Testagrossa
Leonardo
L
Leite
Cléber Aparecido
CA
Leitão
Aurileide Alves
AA
Praxedes
José Nery
JN
D000006:Abdomen, Acute / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology; D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D000328:Adult; D017311:Amlodipine / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D020773:Headache Disorders / Q000209:etiology; D006801:Humans; D006974:Hypertension, Malignant / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D017379:Hypertrophy, Left Ventricular / Q000209:etiology; D007422:Intestines / Q000098:blood supply* / Q000473:pathology; D007511:Ischemia / Q000209:etiology*; D007606:Juxtaglomerular Apparatus / Q000378:metabolism*; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D009336:Necrosis; D009392:Nephrectomy; D010211:Papilledema / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D012083:Renin / Q000378:metabolism*; D012166:Retinal Hemorrhage / Q000209:etiology
D000959:Antihypertensive Agents; D017311:Amlodipine; D012083:Renin