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Wilms' tumor with polydipsia, polyuria, hyponatremic hypertension and congestive heart failure : a case report  

Woo, Chul Hee (Department of Pediatrics, College of Medicine, Korea University)
Jang, Ji Min (Department of Pediatrics, College of Medicine, Korea University)
Woo, Chan Wook (Department of Pediatrics, College of Medicine, Korea University)
Lee, Ki Hyung (Department of Pediatrics, College of Medicine, Korea University)
Lee, Kwang Chul (Department of Pediatrics, College of Medicine, Korea University)
Publication Information
Clinical and Experimental Pediatrics / v.49, no.1, 2006 , pp. 99-102 More about this Journal
Abstract
A 3-year-old girl presented with polydipsia, polyuria, hyponatremia, hypertension and congestive heart failure. Her polyuria was unresponsive to water restriction and vasopressin challenge tests, and her blood pressure was not effectively controlled by antihypertensive drugs. Radiologic examinations revealed a Wilms' tumor in the right kidney. Her plasma renin activity and aldosterone concentration were greatly increased. After surgical removal of the tumor, the congestive heart failure disappeared. Congestive heart failure due to Wilms' tumor is very rare and we report here on such a case, with a brief review of the literature.
Keywords
Wilms' tumor; Hypertension; Congestive heart failure; Hyperreninemia;
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