genitourinary disorders
Hypertensive Arteriolar Nephrosclerosis
Key Points
Chronic hypertension can cause hypertensive arteriolar nephrosclerosis, resulting in chronic kidney disease and, infrequently, end-stage renal disease. Suspect the diagnosis if chronic hypertension precedes onset of renal insufficiency. Do ultrasonography to check for other causes of renal failure. Treat most patients with an ACE inhibitor or ARB, and possibly other medications, to control BP. 