Fibromuscular dysplasia with unilateral renal agenesis

Fibromuscular dysplasia (FMD) is predominantly diagnosed in women and is a congenital malformation damaging the arterial cell walls of numerous arteries, most prominently impacting the renal arteries. Although previously believed to be a disease of young women, older patients have been shown to make...

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Bibliographic Details
Published in:BMJ case reports 2021-04, Vol.14 (4), p.e240311
Main Authors: Woods, Demi Jordan, Woods, Zakary John, Alter, Kevin, Choudhury, Adnan Z
Format: Article
Language:English
Subjects:
Abdomen
Adult
Age
Angioplasty
Antihypertensives
Anxiety disorders
Blood pressure
Carotid arteries
Case Report
Case reports
Child development
Creatinine
Diuretics
Female
Fibromuscular Dysplasia - diagnosis
Fibromuscular Dysplasia - diagnostic imaging
Headaches
Humans
Hypertension
Medical imaging
Neck pain
Patients
Post traumatic stress disorder
Primary care
Renal Artery - diagnostic imaging
Renal Artery Obstruction - diagnostic imaging
Renal Artery Obstruction - etiology
Solitary Kidney - complications
Tinnitus
Ultrasonic imaging
Veins & arteries
Womens health
Young Adult
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Summary:Fibromuscular dysplasia (FMD) is predominantly diagnosed in women and is a congenital malformation damaging the arterial cell walls of numerous arteries, most prominently impacting the renal arteries. Although previously believed to be a disease of young women, older patients have been shown to make up a large percentage of this patient population as well. FMD is underdiagnosed, and the misdiagnosis of this disease has life-threatening consequences. Here, we present the case of a 24-year-old woman with hypertension who did not receive adequate workup until her symptoms were unrelenting. Her hypertension was presumed to be a result of her generalised anxiety disorder. However, once she began to experience vision changes and significant headaches, further workup ensued. This case exemplifies the importance of performing a thorough evaluation of all patients that present with hypertension of unknown origin, especially young women. To decrease the risk of permanent consequences such as strokes, renal failure and even death, the correct diagnosis of FMD is vital.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-240311