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건강한 젊은 남자에서 발생한 자발성 신동맥 박리에 의한 신경색 1 예
오석진(Seok Jin Oh),김혜영(Hye Young Kim),권순길(Sun Gil Kwon),박영선(Young Sun Park),김기석(Ki Seok Kim),김형삼(Hyoung Sam Kim),배상석(Sang Seok Bae),엄재호(Jae Ho Earm),배일헌(Il Hun Bae),한기석(Ki Seok Han) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.5
Spontaneous renal artery dissection is an uncommon cause of renal infarction. Previous reports of spontaneous renal artery dissection has been associated with hypertension or fibromuscular dysplasia. We report herein the case of a previously healthy, normotensive patient with renal infarction due to spontaneous renal artery dissection who remained normotensive throughout his course without therapy. A previously healthy 31-year--old man with well-documented normotension had a sudden onset of right flank pain and delayed onset of elevation of lactic dehydrogenase, hematuria, and proteinuria. Thin section spiral computerized tomogram shows linear intraluminal filling defect suggesting intimal flap. Angiography shows dissection of main right renal artery. Six months later, he has remained well and normotensive without therapy. To our knowledge, this is the first case of spontaneous renal artery dissection in normotensive patients in Korea.