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We report a patient who presented with malignant hypertension and renal failure. He was treated with lisinopril, spironolactone, and nifedipine retard for blood pressure control. Subsequent renal function showed further deterioration, but it then improved after withdrawal of the angiotensin converting enzyme inhibitor (ACE I). The diagnosis of classical polyarteritis nodosa was established with aneurysmal dilatation demonstrable in the renal vasculature. His renal impairment improved further following immunosuppressive therapy and the disease has remained inactive 4 years after first presentation. This is the first reported case of acute renal failure associated with the use of ACE I in polyarteritis nodosa.
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
September 1994,
Clinical nephrology,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
February 1982,
JAMA,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
June 2001,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
October 2010,
The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
July 1993,
Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
February 1988,
Experientia,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
December 1990,
Journal of the American Society of Nephrology : JASN,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
July 2008,
La Revue de medecine interne,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
September 1998,
Harefuah,
A Y Wang, and
K N Lai, and
P K Li, and
C B Leung, and
S F Lui
July 1995,
Renal failure,
