Why the study?
Renal segmental infarction can cause accelerated or malignant hypertension in young adults, but its clinical course and management differ from renal fibrodysplasia.
Case Report (n=6)
No
Answers are grounded in this paper and cite their sources.
Consider renal artery dissection in middle-aged men with urolithiasis-like pain; leaves open optimal management without prospective data.
Five cases of accelerated or malignant hypertension which occurred in young adults within a few weeks of renal segmental infarction are reported here. Such infarction appears to give rise to a form of renovascular hypertension, the severity and sudden onset of which distinguishes it from renal fibrodysplasia, which is commonly observed in this age group. In three cases hypertension was corrected by nephrectomy. In two cases several months medical treatment was associated with remission of hypertension without surgery. It is therefore suggested that hypertension due to renal infarction, unlike that caused by fibromuscular dysplasia, may be managed by prolonged medical treatment.
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Elkik et al. (1984) conducted a case report in Spontaneous renal artery dissection (n=6). Spontaneous renal artery dissection was evaluated.
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