Document Detail

Page Kidney: Etiology, Renal Function Outcomes and Risk for Future Hypertension.
MedLine Citation:
PMID:  22458742     Owner:  NLM     Status:  Publisher    
J Clin Hypertens (Greenwich). 2012;14:216-221. ©2012 Wiley Periodicals, Inc. The initial description of Page kidney, a form of renin-mediated hypertension, included athletes with renal subcapsular hematoma after flank trauma. Subsequently, nontraumatic etiologies were identified. In this study, the authors compare traumatic and nontraumatic causes of Page kidney. All cases with hypertension attributable to renal hematoma at our institution from 1960 to 2010 were reviewed. Twenty-six patients (9 trauma, 17 nontrauma), with a mean age of 36.7 years, were included. Trauma patients were younger (P<.001), had lower systolic blood pressures (P=.011), and higher baseline estimated glomerular filtration rate (eGFR), (P=.027) at presentation. No differences in presenting features, imaging, urinalysis, or pathology are noted. Nontrauma cases required more antihypertensive medications (P=.001) and had higher nephrectomy rates. eGFR improved in all, but more in, trauma cases (P=.05). Through the analysis of 26 cases of Page kidney, two distinct groups were identified. Trauma patients tended to be younger, male, have less renal impairment and lower systolic blood pressure. Nontrauma patients required more antihypertensive medications and had a higher nephrectomy rate. New-onset hypertension occurred independent of etiology, calling for close surveillance of blood pressures.
Andrew Smyth; C Scott Collins; Bjorg Thorsteinsdottir; Bo Enemark Madsen; Guilherme H M Oliveira; Garvan Kane; Vesna D Garovic
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-12
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  14     ISSN:  1751-7176     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-3-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  216-221     Citation Subset:  -    
Copyright Information:
© 2012 Wiley Periodicals, Inc.
From the Department of Nephrology, Galway University Hospitals, Galway, Ireland;the Department of Medicine, National University of Ireland, Galway, Ireland;the Department of Internal Medicine, Mayo Clinic, Rochester, MN;the Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA;the Department of Cardiology, University of Texas, M.D. Anderson Cancer Center, Houston, TX;the Department of Cardiovascular Medicine, Heart & Vascular Institute, Cleveland Clinic, Cleveland, OH;the Division of Cardiovascular Disease, Mayo Clinic, Rochester, MN;the Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
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