Hypertensive emergency preceding the progression of periaortitis and retroperitoneal fibrosis: case report and review of the literature.
Hypertensive emergency is an important entity which should be managed adequately. A 65-year-old woman presented with blindness and elevated blood pressure of 254/131 mmHg. She was diagnosed with hypertensive emergency on physical examination, and brain magnetic resonance imaging showed posterior reversible encephalopathy syndrome (PRES) with bilateral thalamic haemorrhage. After controlling her blood pressure with intravenous antihypertensive agents, periaortitis and retroperitoneal fibrosis (RPF) were manifested by left hydronephrosis and creatinine elevation. She was diagnosed with periaortitis/RPF. Her blood pressure was well controllable, and PRES improved after treatment with prednisolone. Periaortitis/RPF should not be overlooked when hypertensive emergency suddenly occurs in patients with no history of hypertension.
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Takayasu
T
Ito
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Ryuji
R
Okamoto
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Masaya
M
Taniguchi
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Masaki
M
Tanabe
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Haruna
H
Komatsubara
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Norikazu
N
Yamada
a Department of Cardiology and Nephrology , Mie University Graduate School of Medicine , Mie , Japan.
Masaaki
M
Ito
D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001766:Blindness / Q000209:etiology*; D018450:Disease Progression; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D054038:Posterior Leukoencephalopathy Syndrome; D012185:Retroperitoneal Fibrosis / Q000150:complications / Q000175:diagnosis*
D000959:Antihypertensive Agents
Hypertension; IgG4-related disease; hypertensive emergency; periaortitis; retroperitoneal fibrosis