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- W2015443804 abstract "Background: Renal-artery stenosis, defined as a narrowing of one or both renal arteries or their branches, is most commonly caused by atherosclerosis. Less frequently, it is caused by fibromuscular dysplasia and it rarely has other causes. Atherosclerosis and fibromuscular dysplasia have distinct presentations and clinical consequences, and whereas fibromuscular dysplasia appears to be effectively treated with balloon angioplasty, the optimal management of atherosclerotic renal-artery stenosis remains controversial. The diagnosis of renal-artery stenosis due to fibromuscular dysplasia should always be suspected in young patients with stage two drug-resistant hypertension. Methods: The authors present the case of a 23-year-old male, soccer referee, with normal Body Mass Index (BMI) and hypertension detected on routine medical appointment and during the subsequent six months. No other relevant symptoms were referred, namely headache, edema, foamy urine or gross hematuria. He was treated with the association of three different drugs, without clinical response. His physical examination was normal otherwise. Results: Laboratory findings were irrelevant, including renal function, the determination of urinary metanephrines, plasma renin assay and hormone study. Angio-CT scan and Magnetic-Resonance-Angiography (MRA) were performed and revealed renal asymmetry, with right renal artery diameter much smaller than the left, suggesting stenosis. Patient underwent angioplasty of the right renal artery with full recovery of his blood-pressure control, which remained controlled until the last follow-up consultation (4 months after surgery) without drugs. Conclusion: The authors present a rare case of renal arterial stenosis due to fibrodysplasia, highlighting the magnitude of this stenosis with angio-CT three dimensional reconstructed images. Noteworthy the need to exclude causes of secondary hypertension in young patients with refractory hypertension." @default.
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- W2015443804 date "2013-10-01" @default.
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- W2015443804 title "Secondary arterial hypertension — A case report in images" @default.
- W2015443804 doi "https://doi.org/10.1016/j.ejim.2013.08.111" @default.
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