Hypertensive crisis in an 11-year-old girl with kidney and inferior vena cava abnormalities and leg thrombosis: Questions

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F21%3A10417808" target="_blank" >RIV/00064203:_____/21:10417808 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/21:10417808

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8RtB4Cp4fi" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8RtB4Cp4fi</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00467-020-04825-8" target="_blank" >10.1007/s00467-020-04825-8</a>

Result language

angličtina

Original language name

Hypertensive crisis in an 11-year-old girl with kidney and inferior vena cava abnormalities and leg thrombosis: Questions

Original language description

An 11-year-old girl was admitted to the hospital suffering from severe headache, eye pain, diplopia, loss of appetite, and vomiting lasting for 3 days. At the emergency department, the patient was somnolent with blood pressure (BP) of 180/130 mmHg. Electrolyte and biochemical analysis did not reveal any abnormal findings. Fundoscopy showed bilateral papilledema. Therefore, a brain computed tomography (CT) was performed with no signs of any pathologic lesions. Echocardiogram revealed left ventricular hypertrophy (LVH). Kidney ultrasound revealed hypoplastic left kidney (length 5.3 cm, &lt; 5th centile), while the right kidney showed compensatory hypertrophy (length 11.2 cm, &gt; 95th centile). The blood flow to the left renal artery measured by a Doppler ultrasound was not detectable. Therefore, kidney CT angiography was performed, which demonstrated severely stenotic left renal and left polar renal artery without segmental stenosis and an absence of the infrarenal segment of the inferior vena cava (IVC) (Fig. 1) with a collateral drainage through azygous and hemiazygos veins. DMSA kidney scan showed severe hypofunction of the left kidney (14%). The glomerular filtration rate (GFR) calculated by Schwartz equation was 81 ml/min/1.73 m2, urinalysis was negative, and 24-h urine protein excretion was 67 mg/m2/day; microalbuminuria was 2.07 mg/mmol.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30217 - Urology and nephrology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Pediatric Nephrology

ISSN

0931-041X

e-ISSN

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Volume of the periodical

36

Issue of the periodical within the volume

7

Country of publishing house

DE - GERMANY

Number of pages

3

Pages from-to

1977-1979

UT code for WoS article

000591096900004

EID of the result in the Scopus database

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