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Clinical Pediatrics, Vol. 21, No. 1, 32-35 (1982)
DOI: 10.1177/000992288202100105

Intrarenal Arterial Stenosis

Saralasin Acetate Infusion Test as an Aid to Diagnosis

Patrick T. Doody

Departments of Internal Medicine and Urology, Eastern Virginia Medical School, Norfolk, Virginia

Duane G. Wombolt

Departments of Internal Medicine and Urology, Eastern Virginia Medical School, Norfolk, Virginia

William V. Tynes

Departments of Internal Medicine and Urology, Eastern Virginia Medical School, Norfolk, Virginia

Marvin Goldberg

Departments of Internal Medicine and Urology, Eastern Virginia Medical School, Norfolk, Virginia

This report documents a case of hypertension caused by an intrarenal arterial stenosis in a ten-year-old girl. The renovascular origin of her hypertension was suggested by a positive saralasin acetate infusion test, and the lesion was identified by use of the subtraction technique in renal arteriography. Partial nephrectomy resulted in resolution of the pa tient's hypertension with good function in the remaining portion of the kidney.


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