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Hyponatremic-hypertensive syndrome associated with renovascular hypertension: a case report
Yayoi Tsukada Tetsuou1, Yoshiko Yamazaki Miyatake, Kunio Tanaka
1Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School, Tama-city, Japan. yayotuka@nms.ac.jp
Abstract:
Renovascular hypertension occasionally manifests clinically as electrolyte disorders and albuminuria in addition to elevated blood pressure. A 49-year-old man who had renovascular hypertension also had severe hypokalemia, hyponatremia, polyuria and polydipsia that were treated by an angiotensin-converting enzyme inhibitor and resection of an atrophic kidney with a compromised blood supply. This is a case of hyponatremic-hypertensive syndrome related to renovascular hypertension and occurring as an additional abnormality.