Page kidney in a patient with granulomatosis with polyangiitis (Wegener's)
- First Department of Internal Medicine, University of Toyama, Toyama, Japan
- Correspondence to Dr Hirofumi Taki, First Department of Internal Medicine, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan;
Contributors HT: manuscript writing and drafting; MO, HT, KT: revising the manuscript critically for important intellectual content; MO, KS, HH, RO, HT, KT: final approval of the version to be published.
- Granulomatosis with polyangiitis (Wegener's)
- page kidney
- spontaneous perinephric haemorrhage
Page kidney results from a perirenal haematoma or a mass around the kidney, which causes extrinsic compression on the renal parenchyma and is a very rare cause of secondary hypertension.1 Page kidney, first described in 1939 by Page in an animal model with cellophane papers wrapped round the kidney, results in a consequent decrease in renal blood flow, hyperreninemia, hypertension and deterioration of renal function. We experienced Page kidney during a course of granulomatosis with polyangiitis (Wegener's) (GPA), with CT findings showing accumulation of blood in the perinephric space due to a spontaneous perinephric haemorrhage (SPH).
A 63-year-old man was referred to our hospital because of fever of …