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Neurofibromatosis with renovascular hypertension
Abstract
A 13-year-old Black patient presented with neurofibromatosis complicated by hypertension. Repeated normal vanillylmandelic acid estimations seemed to exclude a phaeochromocytoma. A transfemoral aortogram showed a double left renal artery, one branch narrowed with a poststenotic dilatation, and the other dilated. The ratio of left to right renal vein renin values was 1,75. Reconstructive surgery was not possible, and a nephrectomy was done. The blood pressure decreased during the 3-week postoperative period before the patient was discharged. A short review of the literature is presented.
S. Afr. Med. J., 48, 1537 (1974).
S. Afr. Med. J., 48, 1537 (1974).