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Nephrol Dial Transplant (1999) 14: 2734-2737
© 1999 European Renal Association-European Dialysis and Transplant Association

Teaching Point

A young woman with high blood pressure on haemodialysis: it is never too late to evaluate hypertension

Volker Nickeleit1, Solange Moll1, Eva Cynke2, Felix P. Brunner2 and Michael J. Mihatsch1

1 Institute for Pathology 2 and Department of Nephrology, University of Basel, Kantonsspital, Switzerland

Correspondence and offprint requests to: Prof. Dr. M. J. Mihatsch, Institute for Pathology, University of Basel, Kantonsspital, Schoenbeinstrasse 40, CH-4003 Basel, Switzerland.

Keywords: fibromuscular dysplasia; histology; hypertension; kidney; pathology; renal artery

Introduction

Once a patient is on haemodialysis long-term renal replacement therapy is usually needed because of irreversible nephron loss. Severe kidney disease accompanied by high blood pressure is often due to extensive glomerular injury. However, some patients do come off haemodialysis, making a careful clinical work-up mandatory to rule out curable disorders. Stenosis of the renal artery should be included into the differential diagnosis, since it is a reversible cause of severe hypertension and renal dysfunction. This important fact is underlined by the present case. We observed a young female with severe arterial hypertension and renal failure requiring haemodialysis. Haemodialysis could be stopped, once a dysplastic renal artery had been surgically revised and renal function and blood pressure had returned to normal limits.

Case report

A 28-year-old woman from Yugoslavia was admitted to the university hospital in Basel for dyspnea and headaches. In Yugoslavia she had been suffering from severe renal failure of . . . [Full Text of this Article]

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Teaching Point

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