A Case of Nephrotic Syndrome Associated with Renovascular Hypertension Successfully Treated with Candesartan.
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- TAKAHASHI Fumihiko
- First Department of Medicine, Asahikawa Medical College
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- HASEBE Naoyuki
- First Department of Medicine, Asahikawa Medical College
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- CHINDA Junko
- First Department of Medicine, Asahikawa Medical College
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- OKADA Motoi
- First Department of Medicine, Asahikawa Medical College
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- TAKEUCHI Toshiharu
- First Department of Medicine, Asahikawa Medical College
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- HIRAYAMA Tomoya
- First Department of Medicine, Asahikawa Medical College
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- IMAMOTO Chiiko
- Imamoto Clinic
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- KIKUCHI Kenjiro
- First Department of Medicine, Asahikawa Medical College
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A sixty eight-year-old man was referred to our hospital for evaluation of hypertension and hypokalemia. His chief complaints were fatigability and weakness of the lower extremities. Atrophy of the right kidney was noted on computed tomography. The laboratory findings demonstrated massive proteinuria, markedly elevated plasma renin activity, hypokalemia, and renal insufficiency. Angiography showed total occlusion of the right renal artery. The patient was diagnosed as having nephrotic syndrome associated with renovascular hypertension. Treatment with candesartan, an angiotensin-II-receptor blocker (ARB), controlled both hypertension and proteinuria satisfactorily without worsening of his renal function. This is the first report on the effect of ARB on nephrotic syndrome associated with renovascular hypertension. Based on the results, ARB can be considered a promising agent for the treatment of patients with renovascular hypertension with massive proteinuria and renal insufficiency. (Hypertens Res 2003; 26: 123-127)
収録刊行物
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- Hypertension Research
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Hypertension Research 26 (1), 123-127, 2003
日本高血圧学会
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詳細情報 詳細情報について
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- CRID
- 1390282679697288576
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- NII論文ID
- 130004437018
- 50000736203
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- NII書誌ID
- AA10847079
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- COI
- 1:STN:280:DC%2BD3s7ks1Wgsw%3D%3D
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- ISSN
- 13484214
- 09169636
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- PubMed
- 12661922
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可