一种罕见的临床综合征，表现为难治性继发性高血压、肾动脉狭窄和红细胞增多症。

A rare clinical syndrome of refractory secondary hypertension, renal artery stenosis and erythrocytosis.

作者信息

Bhadauria Dharmendra, Sharma Raj Kumar, Kaul Anupama, Prasad Narayan, Gupta Amit, Gurjar Deshrag, Jain Apoorva

机构信息

Department of nephrology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

出版信息

NDT Plus. 2011 Jun;4(3):175-7. doi: 10.1093/ndtplus/sfr028. Epub 2011 Mar 31.

DOI:10.1093/ndtplus/sfr028

PMID:25984150

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4421604/

Abstract

Clinical syndrome of refractory secondary hypertension, renal artery stenosis and secondary erythrocytosis could occur in the same patient. We report a rare case of refractory secondary hypertension, renal artery stenosis and primary erythrocytosis as an expression of polycythaemia rubra vera (PV) and suggest that erythrocytosis in a hypertensive renovascular occlusive disease may be primary due to underlying PV. This clinical syndrome should be excluded in such patients with refractory hypertension.

摘要

难治性继发性高血压、肾动脉狭窄和继发性红细胞增多症的临床综合征可能出现在同一患者身上。我们报告了一例罕见的难治性继发性高血压、肾动脉狭窄和作为真性红细胞增多症（PV）表现的原发性红细胞增多症病例，并提示高血压性肾血管闭塞性疾病中的红细胞增多症可能由于潜在的PV而原发性存在。在这类难治性高血压患者中应排除这种临床综合征。