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A Case of Renovascular Hypertension.

Journal of the Korean Pediatric Society 1989;32(5):705-712.
Published online May 31, 1989.
A Case of Renovascular Hypertension.
Kang Oh Lee1, Soo Gi Kang1, Mi Ja Yoon1, Hyung Ja Park1, Bok Lyun Kim1, Shin na Kim1, Hae Il Cheong2, In One Kim3, Kyung Mo Yeon3
1Department of Pediatrics, Dong-Boo City Hospital, Seoul, Korea
2Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
3Department of Radiology , College of Medicine, Seoul National University, Seoul, Korea
신혈관성 고혈압 1례
이강오1, 강수기1, 윤미자1, 박형자1, 김복련1, 김신나1, 정해일2, 김인원3, 연경모3
1서울시립 동부병원 소아과
2서울대학교 의과대학 소아과학교실
3서울대학교 의과대학 방사선과학교실
Received: 30 September 1988   • Accepted: 21 November 1988
Recently, we experienced a case of renovascular hypertension in 7 year-old boy, who came with chief complaints of protracted vomiting and severe headache for 2 days. Right after admission, he developed seizure and loss of consciousness lasting 5 minutes. Blood pressure was 230/180 mmHg at that time. Diagnostic studies were done with plasma renin activity, rapid sequence pyelography and arteriography, which showed severe focal narrowing of left renal artery. Following successful percutaneous translumunal angioplasty, peripheral plasma re in activity became normal and blood pressure dropped markedly. Since then the patient has been treated with either captopil-beta blocker or captopril-diuretics with good result. We report the case with brief review of literatures.
Key Words: Renovascular hypertension, Fibromuscular dysplasia, Percutaneous transluminal angioplasy

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