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Nephrol Dial Transplant (2001) 16: 1084-1085
© 2001 European Renal Association-European Dialysis and Transplant Association

Letters

Hypertensive rebound after angiotensin converting enzyme inhibitor withdrawal in diabetic patients with chronic renal failure

Giorgina Barbara Piccoli1, Patrizia Anania1, Luigi Biancone1, Elisabetta Mezza1, Margherita Vischi1, Alberto Jeantet1, Claudio Rabbia2, Daniele Savio2, Denis Rossatto2, Massimo Gai1, Paolo Cavallo Perin1 and Giuseppe Paolo Segoloni1

1 Department of Internal Medicine, 2 Department of Emergency, Radiology, University of Torino, Italy

Sir,

Although angiotensin-converting enzyme (ACE) inhibitors are considered a milestone in the treatment of hypertension and microalbuminuria in diabetic patients [1,2], some cautionary notes were reported in the setting of significant reduction of renal function [3–5]. Discrepancy between long-term trials [1,2] and anecdotal reports [3–5] is probably due to the different selection of patients in trials and in clinical practice. Little is mentioned, however, about withdrawal of ACE-inhibitors in late phases of . . . [Full Text of this Article]

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