Document Detail


Bilateral renal infarction in a black man with medial fibromuscular dysplasia.
MedLine Citation:
PMID:  10873889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of bilateral renal infarction in a patient with medial fibrous dysplasia of both renal arteries and a thrombosed aneurysmal dilatation of the right renal artery. A previously healthy 40-year-old black man presented to the emergency department with acute onset of bilateral flank pain. Computerized tomography of the abdomen showed bilateral renal infarction, predominantly affecting the anterior distribution of both renal arteries. Estimated loss of renal mass was 50% on the right and 25% on the left. The patient was treated with intravenous heparin, oral warfarin, and antihypertensive therapy with labetolol and long-acting nifedipine. By day 3, his abdominal pain resolved; however, the serum creatinine level increased to a maximum value of 2.6 mg/dL. The serum creatinine level slowly improved and stabilized at 1.9 mg/dL, and he was subsequently discharged on the seventh hospital day. Magnetic resonance angiography performed 2 months later showed "beading2 of both renal arteries consistent with medial fibromuscular dysplasia, a finding confirmed by conventional angiography. To our knowledge, bilateral renal infarction complicating medial fibrous dysplasia of the renal arteries has not been previously reported, nor has medial fibrous dysplasia been reported in blacks.
Authors:
M O Salifu; D H Gordon; E A Friedman; B G Delano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  36     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-07-26     Completed Date:  2000-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  184-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Division of Nephrology, State University of New York Health Sciences, Brooklyn, NY 11203, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm / complications,  radiography
Aortography
Fibromuscular Dysplasia / complications*,  diagnosis,  radiography
Humans
Infarction / complications*,  diagnosis,  radiography
Kidney / blood supply*,  radiography
Magnetic Resonance Angiography
Male
Renal Artery / radiography
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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