Abstract
Objective: The aim of the present study was to further investigate the observation noticed that is nephrosclerosis starts first in left kidneyDesign and method: Kidneys of hypertensive patients (n = 51) were evaluated both by ultrasonography and color doppler ultrasonography Results: Shrunk kidneys were detected on the right side in 11 and left in 15 cases. Parenchymal echogenicity was significantly higher on the left side as compared to the right (45 versus 14). Alterations in parenchymal/pyelon ratios were found in 22 and 29 cases concerning the right and left side, respectively. Parenchymal/ pyelon border irregularities were determined in 12 cases in the right and 42 in the left kidneys. Nephrosclerosis occurred dominantly in left kidney when compared with the right one (44 versus 16). Right and left renal artery angles were found to be below 60 degrees in 13 and 24 cases, respectively. Conclusions: Results showed that nephrosclerosis appears first in the left kidney and this phenomenon may be called as Ergün sign.
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