title: A paraganglioma in a hypertensive patient with unilateral renal hypoplasia.
abstract: We report the case of a 46-year-old hypertensive Japanese female with renal insufficiency related to unilateral renal hypoplasia. The patient was found to have developed paraganglioma in the retroperitoneal space over a 5-year period. Catecholamine-producing tumors are not usually recognized as conditions associated with renal hypoplasia. Our long-term observation of the patient eventually led us to the diagnosis of paraganglioma. In hypertensive patients with chronic kidney disease, not only the renin-angiotensin-aldosterone system but also catecholamine activity may be involved, particularly in the patients whose cases are complicated with unilateral renal hypoplasia.
authors.affiliation: Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558.teras-t@md.okayama-u.ac.jp.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Terasaka
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Kosuke
authors.initials: K
authors.lastname: Kimura
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nada
authors.forename: Eri
authors.initials: E
authors.lastname: Nakamura
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Hanayama
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Sugiyama
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yanai
authors.forename: Fumio
authors.initials: F
authors.lastname: Otsuka
mesh_terms: D002395:Catecholamines / Q000502:physiology; D003103:Coloboma / Q000175:diagnosis* / Q000503:physiopathology; D015897:Comorbidity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010235:Paraganglioma / Q000175:diagnosis* / Q000503:physiopathology; D011866:Radioisotope Renography; D051437:Renal Insufficiency / Q000175:diagnosis* / Q000503:physiopathology; D012084:Renin-Angiotensin System / Q000502:physiology; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis* / Q000503:physiopathology
chemical_list: D002395:Catecholamines