Case 216

Case 216

Enunciado

Female patient, two years nine months old, with a previous diagnosis of neurofibromatosis type 1 is sent to the emergency department of the HC-UFMG due to blood pressure measurement of 190x130mmHg MRS (p99 120x97). Her mother reported restless sleep and night sweats. Laboratory tests were performed: renin: 60 ng/ml (reference value 0.06 to 4.69), aldosterone: 1284 pg/ml (25-315), urinary normetanephrine: 276 µg/24h (up to 800), urinary metanephrine: 62 µg/24 (up to 400), TSH: 3,960 µUI/ml (0.3 to 5.0), free T4: 1,49 ng/dL (0.75 to 1.8). Prior ultrasound showed left kidney smaller than the right one and unchanged parenchyma. Then, it was asked for a angiography of renal arteries.

Angiography of the renal arteries.

Angiography of renal arteries with iodinated contrast injection preferably in the left renal artery.


Question:
Based on clinical data and laboratory tests, which is the correct statement regarding the diagnosis and treatment?

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