This case report highlights that renovascular hypertension can present with hyponatremic-hypertensive syndrome, which can be managed with ACE inhibitors and nephrectomy of the affected kidney.
May support ACE inhibitor plus nephrectomy in rare renovascular hyponatremic-hypertensive syndrome; hypothesis-generating and requires prospective validation.
Renovascular hypertension occasionally manifests clinically as electrolyte disorders and albuminuria in addition to elevated blood pressure. A 49-year-old man who had renovascular hypertension also had severe hypokalemia, hyponatremia, polyuria and polydipsia that were treated by an angiotensin-converting enzyme inhibitor and resection of an atrophic kidney with a compromised blood supply. This is a case of hyponatremic-hypertensive syndrome related to renovascular hypertension and occurring as an additional abnormality.
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Tetsuou et al. (2002) studied this question.
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