Chen Y H, Stapleton F B, Roy S, Noe H N
J Urol. 1985 Apr;133(4):664-5. doi: 10.1016/s0022-5347(17)49136-1.
Multicystic renal dysplasia is an extremely uncommon cause of hypertension in children and the few reported cases have not been of newborns. We report on a neonate in whom severe hypertension associated with elevated peripheral plasma renin resulted from a unilateral multicystic dysplastic kidney. Hypertension and plasma renin activity normalized after unilateral nephrectomy. No evidence of perfusion or excretory renal function in the dysplastic kidney was present on a radionuclide renal scan. This child demonstrates a relationship between hypertension and unilateral multicystic renal dysplasia.
多囊性肾发育不良是儿童高血压极为罕见的病因，少数已报道的病例并非新生儿。我们报告一例新生儿，其严重高血压伴外周血浆肾素升高是由单侧多囊性发育不良肾所致。单侧肾切除术后高血压和血浆肾素活性恢复正常。放射性核素肾扫描显示发育不良肾无灌注或排泄肾功能的证据。该患儿显示了高血压与单侧多囊性肾发育不良之间的关系。
