| Secondary hyperaldosteronism in a patient with polyarteritis nodosa and renal artery aneurysms. | |
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MedLine Citation:
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PMID: 21549628 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis that affects medium- and small-sized arteries. We report the case of a 32-year-old female with PAN in which renal involvement was revealed by a secondary hyperaldosteronism. Hypokaliemia and arterial hypertension preceded rupture of renal artery aneurysm by several months. We believe that hyperreninemia resulted from diffuse renal necrotizing vasculitis with occlusive but non-stenotic lesions. Angiography or CT scan should be performed systematically in PAN to screen for aneurysms so as to be able to consider prophylactic treatment by embolization and intensification of the general treatment. Hyperaldosteronism may reveal renal involvement in PAN and warrants an angiography if it has not yet been done. |
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Authors:
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Arnaud Saint-Lézer; Elise Kostrzewa; Jean-François Viallard; Nicolas Grenier; Marie-Sylvie Doutre |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-4 |
Journal Detail:
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Title: Joint, bone, spine : revue du rhumatisme Volume: - ISSN: 1778-7254 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100938016 Medline TA: Joint Bone Spine Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved. |
Affiliation:
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Service de dermatologie, hôpital Haut-Lévêque, CHU de Bordeaux, avenue de Magellan, 33604 Pessac cedex, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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