Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female

Fibromuscular dysplasia (FMD) can present with renovascular hypertension with or without hypertensive emergency in mostly young patients. A 16-year-old girl presented with uncontrolled hypertension and features of posterior reversible encephalopathy syndrome (PRES). She had no features of large vess...

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Main Authors: Souvik Das, Atanu Chandra
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2025-03-01
Series:Bengal Physician Journal
Subjects:
Online Access:https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8036
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author Souvik Das
Atanu Chandra
author_facet Souvik Das
Atanu Chandra
author_sort Souvik Das
collection DOAJ
description Fibromuscular dysplasia (FMD) can present with renovascular hypertension with or without hypertensive emergency in mostly young patients. A 16-year-old girl presented with uncontrolled hypertension and features of posterior reversible encephalopathy syndrome (PRES). She had no features of large vessel vasculitis. Renal artery bruit could be auscultated on the right side. Blood examination showed hyperreninemic hyperaldosteronism. The USG renal artery doppler study and invasive renal angiogram showed unilateral right renal artery stenosis. She was provisionally diagnosed as a case of FMD and was treated accordingly.
format Article
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spelling doaj-art-61848de089124fc882d547fc0ea06da62025-08-20T03:17:58ZengJaypee Brothers Medical PublisherBengal Physician Journal2582-12022025-03-01121525310.5005/jp-journals-10070-803613Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young FemaleSouvik Das0Atanu Chandra1https://orcid.org/0000-0002-3809-8926Souvik Das, Department of Internal Medicine, Bankura Sammilani Medical College, Bankura, West Bengal, India, Phone: +91 7685939885Department of Internal Medicine, Bankura Sammilani Medical College, Bankura, West Bengal, IndiaFibromuscular dysplasia (FMD) can present with renovascular hypertension with or without hypertensive emergency in mostly young patients. A 16-year-old girl presented with uncontrolled hypertension and features of posterior reversible encephalopathy syndrome (PRES). She had no features of large vessel vasculitis. Renal artery bruit could be auscultated on the right side. Blood examination showed hyperreninemic hyperaldosteronism. The USG renal artery doppler study and invasive renal angiogram showed unilateral right renal artery stenosis. She was provisionally diagnosed as a case of FMD and was treated accordingly.https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8036case reportfibromuscular dysplasiahypertensive emergencyposterior reversible encephalopathy syndromerenal artery stenosisrenovascular hypertension
spellingShingle Souvik Das
Atanu Chandra
Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female
Bengal Physician Journal
case report
fibromuscular dysplasia
hypertensive emergency
posterior reversible encephalopathy syndrome
renal artery stenosis
renovascular hypertension
title Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female
title_full Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female
title_fullStr Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female
title_full_unstemmed Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female
title_short Fibromuscular Dysplasia Presenting as Posterior Reversible Encephalopathy Syndrome in a Young Female
title_sort fibromuscular dysplasia presenting as posterior reversible encephalopathy syndrome in a young female
topic case report
fibromuscular dysplasia
hypertensive emergency
posterior reversible encephalopathy syndrome
renal artery stenosis
renovascular hypertension
url https://www.apibpj.com/doi/BPJ/pdf/10.5005/jp-journals-10070-8036
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AT atanuchandra fibromusculardysplasiapresentingasposteriorreversibleencephalopathysyndromeinayoungfemale