[Combined renal forms of symptomatic arterial hypertension]

In high arterial hypertension conditioned by main renal arteries stenosis of different genesis, 21.1% of patients were found to have a combination of renovascular hypertension with parenchymatous renal diseases, most often chronic pyelonephritis. The incidence of development of the malignant hypertension syndrome in combined lesions was noted to be 1.5 times higher than in isolated renovascular hypertension and makes 38.8% of patients. The described features of the clinical course, laboratory, radiological and radionuclide data as well as morphologic state of kidneys make it possible to distinguish this form of symptomatic hypertension as a special one, that is renovascular-parenchymatous hypertension.