Key result
High-dose nitroglycerin successfully resolved sympathetic crash acute pulmonary edema in an 18-year-old woman subsequently diagnosed with Pickering syndrome due to bilateral renal artery stenosis.
Why the study?
Sympathetic crash acute pulmonary edema is a life-threatening injury requiring early recognition, and Pickering syndrome is a rare cause of hypertensive emergency to consider in young patients presenting with it.
Case Report (n=1)
No
Pickering syndrome (bilateral renal artery stenosis) is a rare but important differential diagnosis in young patients presenting with sympathetic crash acute pulmonary edema (SCAPE).
Warrants consideration of Pickering syndrome in young SCAPE patients; single case leaves open systematic evaluation.
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.
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Shrimal et al. (2021) conducted a case report in Sympathetic crash acute pulmonary edema (SCAPE) / Pickering syndrome (n=1). High-dose nitroglycerin was evaluated on Clinical resolution. High-dose nitroglycerin successfully resolved sympathetic crash acute pulmonary edema in an 18-year-old woman subsequently diagnosed with Pickering syndrome due to bilateral renal artery stenosis.
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