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Fibromuscular dysplasia with unilateral renal agenesis
  1. Demi Jordan Woods1,
  2. Zakary John Woods2,
  3. Kevin Alter2 and
  4. Adnan Z Choudhury3
  1. 1Medicine, University of Missouri Kansas City, Kansas City, Missouri, USA
  2. 2Medicine, Rush University Medical Center, Chicago, Illinois, USA
  3. 3Internal Medicine, University of Missouri Kansas City, Kansas City, Missouri, USA
  1. Correspondence to Zakary John Woods; zakary_woods{at}rush.edu

Abstract

Fibromuscular dysplasia (FMD) is predominantly diagnosed in women and is a congenital malformation damaging the arterial cell walls of numerous arteries, most prominently impacting the renal arteries. Although previously believed to be a disease of young women, older patients have been shown to make up a large percentage of this patient population as well. FMD is underdiagnosed, and the misdiagnosis of this disease has life-threatening consequences. Here, we present the case of a 24-year-old woman with hypertension who did not receive adequate workup until her symptoms were unrelenting. Her hypertension was presumed to be a result of her generalised anxiety disorder. However, once she began to experience vision changes and significant headaches, further workup ensued. This case exemplifies the importance of performing a thorough evaluation of all patients that present with hypertension of unknown origin, especially young women. To decrease the risk of permanent consequences such as strokes, renal failure and even death, the correct diagnosis of FMD is vital.

  • hypertension
  • renal system
  • anxiety disorders (including OCD and PTSD)

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Footnotes

  • Twitter @Woods_DemiJ, @Zakary_Woods, @kalteruro

  • Contributors AZC is senior author of this case report. He assisted in all aspects of this case report, including collecting patient data, formatting and final editing. DJW was responsible for planning the case report, obtaining all medical records, and was main contributor in all sections of the case report. ZJW assisted in editing the document and responding to reviewer’s comments in great detail. KA was responsible for discussing revascularisation and also edited the document.

  • 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.

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

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