| 호두까기 증후군으로 인해 발생한 다량의 단백뇨 |
| 이준호, 김근정 |
1차의과대학교 분당차병원 소아청소년과
2차의과대학교 분당차병원 소아청소년과 |
| Significant Proteinuria Caused by Posterior Nutcracker Phenomenon |
| Jun-Ho Lee, Geun-Jung Kim |
1Department of Pediatrics, CHA University, CHA Bundang Medical Center
2Department of Pediatrics, CHA University, CHA Bundang Medical Center |
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Received: March 22, 2010; Revised: April 9, 2010. Accepted: April 13, 2010. |
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| ABSTRACT |
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Posterior nutcracker phenomenon (PNP) was found to be the cause of significant proteinuria in a 10-year-old female. PNP was documented by Doppler ultrasonography and abdominal 3D CT as a cause of her proteinuria. Despite treatment with ACE inhibitor for several months, her persistent and progressive proteinuria lead us to perform a left renal biopsy, which revealed no significant finding except for focal effacement of foot processes. We speculate that nutcracker phenomenon can induce not only orthostatic proteinuria but also significant proteinuria by focal effacement of foot processes. |
| Key words:
Nutcracker phenomenon | Retroaortic left renal vein | Foot processes effacement |
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