Tetsuou Yayoi Tsukada, Miyatake Yoshiko Yamazaki, Tanaka Kunio, Suzuki Takeshi, Ohtsu Fumio, Nagasawa Koichi, Fuji-i Masahiro, Tanaka Shigeo, Iino Yasuhiko, Tamura Koichi
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School, Tama-city, Japan.
Circ J. 2002 Mar;66(3):297-301. doi: 10.1253/circj.66.297.
Renovascular hypertension occasionally manifests clinically as electrolyte disorders and albuminuria in addition to elevated blood pressure. A 49-year-old man who had renovascular hypertension also had severe hypokalemia, hyponatremia, polyuria and polydipsia that were treated by an angiotensin-converting enzyme inhibitor and resection of an atrophic kidney with a compromised blood supply. This is a case of hyponatremic-hypertensive syndrome related to renovascular hypertension and occurring as an additional abnormality.