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Case report
Pickering syndrome: a rare presentation in emergency department
  1. Prawal Shrimal1,
  2. Ankit Kumar Sahu1,
  3. Roshan Mathew1 and
  4. Abhinav Bansal2
  1. 1Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Roshan Mathew; roshmat15{at}gmail.com

Abstract

Sympathetic crash acute pulmonary edema (SCAPE) is a life-threatening injury, which requires early recognition and intervention to prevent mortality. We present a case of 18-year-old woman with no previous comorbidity, presenting with SCAPE who was successfully resuscitated and eventually diagnosed with renal artery stenosis. Pickering syndrome is a rare cause of hypertensive emergency and should be considered in a young patient presenting with SCAPE in emergency department.

  • heart failure
  • adult intensive care

https://doi.org/10.1136/bcr-2020-239421

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    Footnotes

    • Twitter @roshmat15

    • Contributors PS, AKS and RM were involved in patient management. AB did the interpretation of clinical images. PS wrote the first draft of the manuscript and RM reviewed and edited the final version. All authors take full responsibility of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.