Cargando…
Fibromuscular dysplasia: Rare case of secondary hypertension in young male
INTRODUCTION: and importance: Renovascular hypertension accounts for 1–2% of all cases of hypertension in the general population, but plays a major role in treatable causes of hypertension in the young. Most of the renovascular diseases are due to atherosclerosis, and fibromuscular disease is though...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289428/ https://www.ncbi.nlm.nih.gov/pubmed/35860166 http://dx.doi.org/10.1016/j.amsu.2022.104055 |
_version_ | 1784748663742922752 |
---|---|
author | Ahmed Nor, Mosab Osman Siyad, Mohamed Sheikh Hassan, Mohamed Adan Osman, Ahmed abdullahi, Abdikamil |
author_facet | Ahmed Nor, Mosab Osman Siyad, Mohamed Sheikh Hassan, Mohamed Adan Osman, Ahmed abdullahi, Abdikamil |
author_sort | Ahmed Nor, Mosab |
collection | PubMed |
description | INTRODUCTION: and importance: Renovascular hypertension accounts for 1–2% of all cases of hypertension in the general population, but plays a major role in treatable causes of hypertension in the young. Most of the renovascular diseases are due to atherosclerosis, and fibromuscular disease is thought to be a rare cause of renovascular hypertension. CASE PRESENTATION: We present a rare case of a young male patient who was diagnosed with renovascular hypertension due to fibromuscular dysplasia of both renal arteries. Computed tomographic angiogram revealed thinning and narrowing area of both renal arteries The left kidney looks atrophied. After vigorous antihypertensive medication and hemodialysis, he was discharged with normal blood pressure without the need for angioplasty. CLINICAL DISCUSSION: Fibromuscular dysplasia (FMD) is a nonatherosclerotic, noninflammatory arterial disease that most commonly involves the renal and carotid arteries. Renal arteries are most commonly involved. Renal FMD may lead to renal failure and secondary hypertension. Multiple stenoses and the ‘string-of-beads' appearance seen in renal angiogram are diagnostic for FMD. Females are mostly affected by FMD. Our case was a successfully managed young male patient with renal failure and resistant hypertension due to renal FMD. CONCLUSIONS: Fibromuscular dysplasia causing renal artery stenosis, though a rare cause of renovascular hypertension, is essential to be considered in young hypertensives, even in the absence of a family history of hypertension. A high index of suspicion is necessary for early diagnosis and prompt treatment, which can result in rapid and complete recovery. |
format | Online Article Text |
id | pubmed-9289428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-92894282022-07-19 Fibromuscular dysplasia: Rare case of secondary hypertension in young male Ahmed Nor, Mosab Osman Siyad, Mohamed Sheikh Hassan, Mohamed Adan Osman, Ahmed abdullahi, Abdikamil Ann Med Surg (Lond) Case Report INTRODUCTION: and importance: Renovascular hypertension accounts for 1–2% of all cases of hypertension in the general population, but plays a major role in treatable causes of hypertension in the young. Most of the renovascular diseases are due to atherosclerosis, and fibromuscular disease is thought to be a rare cause of renovascular hypertension. CASE PRESENTATION: We present a rare case of a young male patient who was diagnosed with renovascular hypertension due to fibromuscular dysplasia of both renal arteries. Computed tomographic angiogram revealed thinning and narrowing area of both renal arteries The left kidney looks atrophied. After vigorous antihypertensive medication and hemodialysis, he was discharged with normal blood pressure without the need for angioplasty. CLINICAL DISCUSSION: Fibromuscular dysplasia (FMD) is a nonatherosclerotic, noninflammatory arterial disease that most commonly involves the renal and carotid arteries. Renal arteries are most commonly involved. Renal FMD may lead to renal failure and secondary hypertension. Multiple stenoses and the ‘string-of-beads' appearance seen in renal angiogram are diagnostic for FMD. Females are mostly affected by FMD. Our case was a successfully managed young male patient with renal failure and resistant hypertension due to renal FMD. CONCLUSIONS: Fibromuscular dysplasia causing renal artery stenosis, though a rare cause of renovascular hypertension, is essential to be considered in young hypertensives, even in the absence of a family history of hypertension. A high index of suspicion is necessary for early diagnosis and prompt treatment, which can result in rapid and complete recovery. Elsevier 2022-06-28 /pmc/articles/PMC9289428/ /pubmed/35860166 http://dx.doi.org/10.1016/j.amsu.2022.104055 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Ahmed Nor, Mosab Osman Siyad, Mohamed Sheikh Hassan, Mohamed Adan Osman, Ahmed abdullahi, Abdikamil Fibromuscular dysplasia: Rare case of secondary hypertension in young male |
title | Fibromuscular dysplasia: Rare case of secondary hypertension in young male |
title_full | Fibromuscular dysplasia: Rare case of secondary hypertension in young male |
title_fullStr | Fibromuscular dysplasia: Rare case of secondary hypertension in young male |
title_full_unstemmed | Fibromuscular dysplasia: Rare case of secondary hypertension in young male |
title_short | Fibromuscular dysplasia: Rare case of secondary hypertension in young male |
title_sort | fibromuscular dysplasia: rare case of secondary hypertension in young male |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289428/ https://www.ncbi.nlm.nih.gov/pubmed/35860166 http://dx.doi.org/10.1016/j.amsu.2022.104055 |
work_keys_str_mv | AT ahmednormosab fibromusculardysplasiararecaseofsecondaryhypertensioninyoungmale AT osmansiyadmohamed fibromusculardysplasiararecaseofsecondaryhypertensioninyoungmale AT sheikhhassanmohamed fibromusculardysplasiararecaseofsecondaryhypertensioninyoungmale AT adanosmanahmed fibromusculardysplasiararecaseofsecondaryhypertensioninyoungmale AT abdullahiabdikamil fibromusculardysplasiararecaseofsecondaryhypertensioninyoungmale |