title: Bilateral renal infarction: an uncommon presentation of fibromuscular dysplasia.
abstract: While fibromuscular dysplasia (FMD) is an established cause of secondary hypertension, its association with renal infarction is less well recognized. We report a middle-aged man who presented with complaints of loin pain and severe hypertension. Computed tomography angiography of the abdomen revealed bilateral renal infarction with multiple short-segment arterial dissection compatible with FMD in the absence of systemic vasculitis and other risk factors for thromboembolic events. Bilateral renal infarction complicating FMD is extremely rare and has so far been reported only in a handful of cases. Physicians encountering cases of otherwise unexplained renal infarction/ischemia need to be aware of this complication.
authors.affiliation: Division of Nephrology, Hypertension, and Renal Transplantation , University of Florida , Gainesville, FL , USA.
authors.forename: Taha
authors.initials: T
authors.lastname: Ayach
authors.affiliation: Division of Nephrology, Hypertension, and Renal Transplantation , University of Florida , Gainesville, FL , USA.
authors.forename: Amir
authors.initials: A
authors.lastname: Kazory
keywords: fibromuscular dysplasia; hypertension; renal infarction