Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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A Rare Cause of Secondary Hypertension in A Young Adult

  • Choi, Jae-Hyuk (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Park, Tae-Ho (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Kim, Moo-Hyun (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Kim, Young-Dae (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Rhyou, Hyo In (Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Rha, Seo Hee (Department of Pathology, Dong-A University College of Medicine) ;
  • Park, Kwon Jae (Department of Cardiovascular Surgery, Dong-A University College of Medicine) ;
  • Woo, Jong Soo (Department of Cardiovascular Surgery, Dong-A University College of Medicine)
  • Received : 2014.01.26
  • Accepted : 2015.03.25
  • Published : 2015.11.30
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Abstract

Reninoma is a rare, renin-secreting, benign renal neoplasm that can cause secondary hypertension. We report a case of a 21-year-old man who suffered from progressively worsening headache for 2 months with a history of hypertension for 7 years. Laboratory studies showed normal potassium level, increased basal plasma renin activity, and normal serum aldosterone level. Abdominal computed tomography and magnetic resonance imaging revealed a small mass in the middle region of the right kidney. Partial nephrectomy was performed; immunohistochemical results demonstrated typical features of reninoma. Postoperatively, blood pressure and potassium level were normal at the 2-month follow-up.

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References

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