Atypical variant of fibromuscular dysplasia presenting with renal artery dissection and renal infarction

摘要

A 48-year-old woman presented with right flank pain and fever with past medical history of Henoch-Sch?nlein purpura, cold urticaria and untreated hypertension.She was hypertensive (170/110 mmHg) and had an unremarkable examination other than minimal right flank tenderness. Her pathology showed elevated inflammatory markers including mild leucocytosis with neutrophilia, raised C-reactive protein, negative cultures and elevated lactate dehydrogenase (LDH). Her renal functions were normal with a bland urinary sediment and normal ultrasound.