Medline ® Abstract for Reference 69
of 'Etiology, clinical features, and diagnosis of neonatal hypertension'
69
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Severe hypertension and massive proteinuria in a newborn with renal artery stenosis.
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Cachat F, Bogaru A, Micheli JL, Lepori D, Guignard JP
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Pediatr Nephrol. 2004;19(5):544. Epub 2004 Feb 21.
Renal vein thrombosis and the congenital nephrotic syndrome have been associated with nephrotic-range proteinuria/nephrotic syndrome and hypertension in the newborn period. We describe a newborn with severe hypertension and proteinuria secondary to unilateral renal artery stenosis. Proteinuria completely disappeared with blood pressure control (with sodium nitroprusside and an angiotensin-converting enzyme inhibitor). Although renin was not measured, we speculate that proteinuria might have been induced by a high renin state, and was controlled by the angiotensin-converting enzyme inhibitor.
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Department of Pediatrics, Division of Pediatric Nephrology, University Hospital, Lausanne, Switzerland. Francois.Cachat@hospvd.ch
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