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Juxtaglomerular cell tumour of the kidney as cause of hypertension: a case report

Department of Radiodiagnosis, St Radboud Hospital, University of Nijmegen, Geert Grooteplein Zuid 18, 6525 GA Nijmegen, The Netherlands ^* Internal Medicine (Division of Endocrinology), St Radboud Hospital, University of Nijmegen, Geert Grooteplein Zuid 18, 6525 GA Nijmegen, The Netherlands

This excerpt was created in the absence of an abstract.

Benign renin-secreting juxtaglomerular cell tumours of the kidney (reninomas) are recognized but rare causes of hypertension.

Although 46 well documented cases have been described since the first report by Robertson et al (1967) there has been little emphasis on the radiological aspects of this clinical entity (Conn et al, 1973; Davidson & Clark 1974; Dunnick et al, 1983). The radiodiagnostic criteria and diagnostic investigations will be dealt with in this case report.

A 33-year-old woman was referred to our hospital because of hypertension (230/130 mmHg) uncontrollable by β-blocking agents. There were no complaints of increased thirst, polyuria or muscular weakness. On physical examination, no abnormalities except for the hypertension were found. The chest radiograph together with an intravenous urogram were normal.

Key Words: Hypertension • Kidney neoplasms • Renin • Reninoma

Received for publication June 3, 1991. Accepted for publication January 14, 1992.