title: [Renal hypertension. A case report - therapeutic dilemmas].
abstract: Hypertension associated with fibromuscular dysplasia of renal artery is the most common form of secondary hypertension among young patients. In this article we present a case of a 27-year-old patient, with drug-resistant hypertension. Stenosis of right renal artery and small right kidney were found on ultrasonography, angio-CT and angiography. There was no sign of renal atrophy therefore we performed percutaneous transluminal angioplasty. After the procedure we observed a decrease in blood pressure and no need to use hypertensive medication. Diagnosis and treatment of this condition are discussed.
authors.affiliation: Katedra i Klinika Chorób Wewnetrznych, Zawodowych i Nadciśnienia Tetniczego, Akademia Medyczna, Wybrzeze L. Pasteura 4, 50-367 Wrocław, Poland. aderkacz@chirs.am.wroc.pl
authors.forename: Arkadiusz
authors.initials: A
authors.lastname: Derkacz
authors.forename: Maciej
authors.initials: M
authors.lastname: Podgórski
authors.forename: Rafał
authors.initials: R
authors.lastname: Poreba
authors.forename: Kinga
authors.initials: K
authors.lastname: Belowska-Bień
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Gruber
authors.forename: Joanna
authors.initials: J
authors.lastname: Słonina
authors.forename: Andrzej
authors.initials: A
authors.lastname: Szuba
authors.forename: Ryszard
authors.initials: R
authors.lastname: Andrzejak
mesh_terms: D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon; D001241:Aspirin / Q000008:administration & dosage; D000077144:Clopidogrel; D004351:Drug Resistance; D004359:Drug Therapy, Combination; D006801:Humans; D006977:Hypertension, Renal / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012078:Renal Artery Obstruction / Q000150:complications* / Q000175:diagnosis*; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D014463:Ultrasonography
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin