Abstract

both in the presence and absence of azotemia, with the introduction of potent antihypertensive agents. 3' ~ Howev- er, with normalization of blood pressure, renal perfusion may decrease, causing a rise in BUN and serum creatinine concentrations4-6; supportive h emodialysis may be required while the renal vascular lesions heal. 7' 8 We believe that this is the first report of a pediatric patient with malignant hypertension and severe renal failure who recovered significant renal function after aggressive con- trol of blood pressure and the use of hemodialysis.

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