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Change in circadian rhythm of blood pressure by bilateral radical nephrectomy and haemodialysis: a case report

Journal of Human Hypertension volume 20, pages 549–550 (2006)Cite this article

It is well known that in patients with chronic kidney diseases, the nocturnal fall of blood pressure (BP) is lost and they manifest as nondippers. 1 In patients on haemodialysis (HD), it is also well known that nocturnal decline in BP is diminished, 2 although the related mechanism remains controversial. We report a patient who was performed bilateral radical nephrectomy for multiple and bilateral renal cell carcinoma. His circadian BP rhythms were changed after bilateral radical nephrectomy and/or HD.

A 62-year-old Japanese male referred to Osaka Rosai Hospital for bilateral renal mass found by ultrasonic examination. He had no past history of diabetes, renal disease or hypertension. Abdominal computerized tomography confirmed the finding of a 8 × 6 × 6 cm3 right adrenal mass, a 7 × 6 × 6 cm3 left renal mass with multiple bilateral renal masses. Magnetic resonance imaging revealed left adrenal metastasis from renal cell carcinoma. The patients underwent laboratory examinations, which indicated that his renal function and adrenal function were not impaired.

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Authors and Affiliations

  1. Department of Medicine, Shiga University of Medical Science, Shiga, Japan

    T Uzu, M Kanasaki, K Isshiki, S Araki, T Sugiomoto & A Kashiwagi

  2. Division of Nephrology, Osaka Rosai Hospital, Osaka, Japan

    M Takeji & A Yamauchi

  3. Division of Urology, Osaka Rosai Hospital, Osaka, Japan

    M Uemura & S Miyoshi

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  1. T Uzu
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  2. M Takeji
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  9. S Miyoshi
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  10. A Yamauchi
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Correspondence to T Uzu.

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Uzu, T., Takeji, M., Kanasaki, M. et al. Change in circadian rhythm of blood pressure by bilateral radical nephrectomy and haemodialysis: a case report. J Hum Hypertens 20, 549–550 (2006). https://doi.org/10.1038/sj.jhh.1002027

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  • DOI: https://doi.org/10.1038/sj.jhh.1002027

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