Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2018) 55 WE5 | DOI: 10.1530/endoabs.55.WE5

SFEEU2018 Clinical Update Workshop E: Disorders of the adrenal gland (17 abstracts)

Case report of malignant hypertension secondary to Renal Artery Stenosis due to Fibromuscular Dysplasia in a young female patient

Meenakshi Parsad


Royal Hampshire County Hospital, Winchester, UK.


Secondary causes for Hypertension account for 5% of hypertension cases. Renal Artery Stenosis due to Fibromuscular Dysplasia is an uncommon cause of Secondary Hypertension. This is a case of a 35-year old lady who presented with headache and vomiting and was found to have malignant hypertension with resultant acute left caudate nucleus infarct in the brain. A mild hypokalaemia on admission prompted measurement of renin and aldosterone which were both elevated. She also had elevated plasma normetadrenaline. This prompted an Endocrinology referral. It was noted that she was on SSRI and this could account for the slightly elevated normetadrenaline. An Ultrasound scan of the kidneys was reviewed and there was 3 cm difference in the size of the kidneys with the left kidney being smaller. Magnetic Resonance – angiogram of renal arteries confirmed features in keeping with left renal artery stenosis secondary to Fibromuscular Dysplasia. The patient was successfully treated with renal artery angioplasty.

Volume 55

Society for Endocrinology Endocrine Update 2018

Society for Endocrinology 

Browse other volumes

Article tools

My recent searches

No recent searches.