REVERSIBLE RENAL-FAILURE IN MALIGNANT HYPERTENSION

  • 1 January 1980
    • journal article
    • research article
    • Vol. 14  (2) , 98-103
Abstract
Acute renal failure requiring dialysis to sustain life may be due to malignant hypertension. If the blood pressure is controlled during a period of dialysis, the renal lesions may heal with some recovery of renal function. Patients (8) with acute renal failure due to malignant hypertension who required temporary dialysis are described. In all cases adequate control of blood pressure was achieved and all recovered renal function such that dialysis could be discontinued. The longest period of follow-up was 5 yr and 1 patient achieved a creatinine clearance of 23 ml/min. Renal histology available in 5 cases showed changes of malignant hypertension and no evidence of other renal lesions. The literature is reviewed and the potentially reversible nature of acute oliguric renal failure due to malignant hypertension is emphasized.