Fibromuscular dysplasia presenting with asymptomatic bilateral renal infarctions

Fibromuscular dysplasia (FMD) is a noninflammatory nonatherosclerotic vascular disease. It is the second cause of renovascular hypertension after atherosclerosis. Although FMD usually has a good prognosis, renal infarctions and artery dissections have been described. We present the case of a 38-year...

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Bibliographic Details
Published in:International urology and nephrology 2014, Vol.46 (1), p.243-246
Main Authors: González-Moreno, J., Campins, M. A., Buades, J. M.
Format: Article
Language:English
Subjects:
Adult
Angiography, Digital Subtraction
Female
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnostic imaging
Humans
Hypertension - etiology
Infarction - etiology
Kidney - blood supply
Medicine
Medicine & Public Health
Nephrology
Nephrology-Case Report
Renal Artery
Urology
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Summary:Fibromuscular dysplasia (FMD) is a noninflammatory nonatherosclerotic vascular disease. It is the second cause of renovascular hypertension after atherosclerosis. Although FMD usually has a good prognosis, renal infarctions and artery dissections have been described. We present the case of a 38-year-old woman with hypertension and asymptomatic bilateral renal infarctions. Bilateral FMD of segmental branches of the renal arteries was diagnosed by digital subtraction angiography after an exhaustive study. Previous intake of nonsteroidal anti-inflammatory drugs may also have played a significant role in the development of renal infarctions. To our knowledge, bilateral renal infarctions complicating FMD have been reported in only four previous cases; only in one of those cases, renal infarctions were asymptomatic.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-012-0361-3