January 1984

Orthostatic Hypertension With Nephroptosis and Aortitis Disease

Author Affiliations

From the Second Department of Internal Medicine, Ehime (Japan) University School of Medicine.

Arch Intern Med. 1984;144(1):152-154. doi:10.1001/archinte.1984.00350130176030

• A 53-year-old woman with nephroptosis and aortitis disease was found also to have orthostatic hypertension. When standing, she had high renin levels and normal catecholamine values, with a reduced baroreflex sensitivity. This orthostatic hypertension largely may be due to an activation of the renin system caused by nephroptosis and partly due to a reduced baroreflex sensitivity caused by aortitis. Captopril and propranolol hydrochloride were effective for the treatment of hypertension.

(Arch Intern Med 1984;144:152-154)