기립성 단백뇨에 동반된 Nutcracker 증후군 1례

A Case of Nutcracker Syndrome Presenting with Orthostatic Proteinuria

  • 김영빈 (관동대학교 의과대학 소아과학교실) ;
  • 백성철 (관동대학교 의과대학 소아과학교실) ;
  • 유황재 (관동대학교 의과대학 소아과학교실) ;
  • 김철홍 (관동대학교 의과대학 소아과학교실) ;
  • 이현희 (관동대학교 의과대학 소아과학교실) ;
  • 박노혁 (관동대학교 의과대학 영상의학과학교실) ;
  • 김병길 (관동대학교 의과대학 소아과학교실)
  • Kim Young-Bin (Departments of Pediatrics, Kwandong University College of Medicine) ;
  • Baek Sung-Chul (Departments of Pediatrics, Kwandong University College of Medicine) ;
  • Yoo Hwang-Jae (Departments of Pediatrics, Kwandong University College of Medicine) ;
  • Kim Cheol-Hong (Departments of Pediatrics, Kwandong University College of Medicine) ;
  • Lee Hyun-Hee (Departments of Pediatrics, Kwandong University College of Medicine) ;
  • Park Noh-Hyuck (Departments of Diagnostic Radiology, Kwandong University College of Medicine) ;
  • Kim Pyung-Kil (Departments of Pediatrics, Kwandong University College of Medicine)
  • 발행 : 2004.04.01

초록

저자들은 학교검진에서 우연히 발견된 기립성 단백뇨를 보인 환아의 복부 도플러 초음파검사에서 좌측 신정맥 죄임 소견을 확인하여 신정맥 조영술을 시행해 nutcracker 증후군을 확진한 1례를 경험하였기에 이를 보고하는 바이다.

Orthostatic proteinuria is documented as a benign condition and the most common cause of isolated proteinuria. The etiology and pathogenesis of orthostatic proteinuria is not clear yet. Recently there were a few report that nutcracker syndrome seemed to cause orthostatic proteinuria. We experienced a case of a twelve-yeat-old female patient with incidently discovered orthostatic proteinuria who was suspected to have nutcracker phenomenon by doppler sonography. We confirmed this patient as nutcracker syndrome by renal venography.

키워드