A 22-year-old woman with hypertensive encephalopathy
DOI:
https://doi.org/10.32818/reccmi.a2n2a11Keywords:
hypertension, renovascular, fibromuscular dysplasiaAbstract
A 22 year-old woman was admitted to hospital due to hypertensive encephalopathy with associated hypopotassemia, metabolic alkalosis, and high plasmatic serum activity and aldosterone. Abdominal CT-scan showed a stenosis of the right renal artery, which was eventually confirmed by angiography. Therefore, we established the diagnosis of fibromuscular dysplasia. After percutaneous balloon angioplasty, previously raised values blood pressure turned back to normality without any antihypertensive treatment.
Final Diagnosis: Renal artery stenosis secondary to Fibromuscular Dysplasia.
Discussion: Secondary Hypertension should be suspected to perform a curative intention treatment.
Downloads
Metrics
References
Menéndez E, Delgado E, Fernández-Vega F, Prieto MA, Bordiú E, Calle A, et al. Prevalence, Diagnosis, Treatment, and Control of Hypertension in Spain. Results of the Di@bet.es Study. Rev Esp Cardiol (Engl Ed). 2016 Jun;69(6):572-8.
Sanidas EA, Seferou M, Papadopoulos DP, Makris A, Viniou NA, Chantziara V, et al. Renal Fibromuscular Dysplasia: A Not So Common Entity of Secondary Hypertension. J Clin Hypertens (Greenwich). 2016 Mar;18(3):240-6.
García-Puente L, Gómez C, Gredilla I. Hipertensión arterial y riesgo vascular. In: Aguilar F, Bisbal O, Gómez C, de Lagarde M, Maestro G, Pérez-Jacoiste MA, Pérez L, Vila J, editors. Manual de Diagnóstico y Terapéutica Médica, 7ª edición. Univadis 2012; ISBN 978-84-7989-743-7.
Olin JW, Gornik HL, Bacharach JM, Biller J, Fine LJ, Gray BH, et al. Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association. Circulation. 2014 Mar 4;129(9):1048-78.
Harrison EG Jr, McCormack LJ. Pathologic classification of renal arterial disease in renovascular hypertension. Mayo Clin Proc. 1971;46:161-167.
Surowiec SM, Sivamurthy N, Rhodes JM, Lee DE, Waldman DL, Green RM, et al. Percutaneous therapy for renal artery fibromuscular dysplasia. Ann Vasc Surg. 2003;17:650-655.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Daniel Martín-Iglesias, María José Cárdenas, Emilia Roy, Patricia Luisa Carles, Carolina Rodríguez
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.