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纤维肌性发育异常：发展中国家慢性肾脏病的一个被低估的病因：一例罕见病例报告

Fibromuscular dysplasia: An underrated cause of chronic kidney disease in developing countries: A rare case report.

作者信息

Chipongo Hilary, Swali Amar, Sarkar Abizer

机构信息

Critical Care Department, Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.

Nephrology Department Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania.

出版信息

Radiol Case Rep. 2024 Sep 12;19(12):5785-5787. doi: 10.1016/j.radcr.2024.08.079. eCollection 2024 Dec.

DOI:10.1016/j.radcr.2024.08.079
PMID:39308609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11416466/
Abstract

Renal fibromuscular dysplasia (FMD) is one of the rare cardiovascular conditions affecting the kidneys at very young ages. The exact pathophysiology is still not known and is one of the causes of resistant hypertension in young patients. Severe forms of FMD such as those involving bilateral renal arteries are very few reported in the literature. In this case, we report a severe form of FMD resulting in the rapid progression of chronic kidney diseases in a young patient which results in requirement of renal replacement therapy.

摘要

肾纤维肌发育不良（FMD）是一种罕见的心血管疾病，在非常年轻的患者中影响肾脏。确切的病理生理学仍不清楚，是年轻患者顽固性高血压的原因之一。文献中报道的严重形式的FMD，如累及双侧肾动脉的情况非常少。在本病例中，我们报告了一例严重的FMD，导致一名年轻患者的慢性肾脏病迅速进展，最终需要肾脏替代治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/6406ed5f6d0d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/6aa61257dd18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/c2bdc1e7fc30/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/6406ed5f6d0d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/6aa61257dd18/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/c2bdc1e7fc30/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ddc/11416466/6406ed5f6d0d/gr3.jpg

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Fibromuscular dysplasia: An underrated cause of chronic kidney disease in developing countries: A rare case report.纤维肌性发育异常：发展中国家慢性肾脏病的一个被低估的病因：一例罕见病例报告
Radiol Case Rep. 2024 Sep 12;19(12):5785-5787. doi: 10.1016/j.radcr.2024.08.079. eCollection 2024 Dec.
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本文引用的文献

1
Fibromuscular dysplasia: Rare case of secondary hypertension in young male.纤维肌性发育异常：年轻男性继发性高血压的罕见病例。
Ann Med Surg (Lond). 2022 Jun 28;79:104055. doi: 10.1016/j.amsu.2022.104055. eCollection 2022 Jul.
2
Prevalence and manifestations of diagnosed fibromuscular dysplasia by sex and race: Analysis of >4500 FMD cases in the United States.按性别和种族划分的纤维肌发育不良的诊断患病率和表现：美国超过 4500 例 FMD 病例分析。
Heart Lung. 2021 Jan-Feb;50(1):168-173. doi: 10.1016/j.hrtlng.2020.09.022. Epub 2020 Oct 15.
3
First International Consensus on the diagnosis and management of fibromuscular dysplasia.
第一届国际纤维肌发育不良诊断与管理共识会议。
Vasc Med. 2019 Apr;24(2):164-189. doi: 10.1177/1358863X18821816. Epub 2019 Jan 16.
4
Renal Fibromuscular Dysplasia: A Not So Common Entity of Secondary Hypertension.肾纤维肌性发育异常：一种并非那么常见的继发性高血压病因。
J Clin Hypertens (Greenwich). 2016 Mar;18(3):240-6. doi: 10.1111/jch.12650. Epub 2015 Aug 19.
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Clinical manifestations of fibromuscular dysplasia vary by patient sex: a report of the United States registry for fibromuscular dysplasia.纤维肌性发育异常的临床表现因患者性别而异：美国纤维肌性发育异常登记处的报告
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Renal artery stenosis: optimizing diagnosis and treatment.肾动脉狭窄：优化诊断与治疗。
Prog Cardiovasc Dis. 2011 Jul-Aug;54(1):29-35. doi: 10.1016/j.pcad.2011.02.007.
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Treatment of renal artery fibromuscular dysplasia.肾动脉纤维肌性发育异常的治疗
Tech Vasc Interv Radiol. 2010 Jun;13(2):126-33. doi: 10.1053/j.tvir.2010.02.007.
8
Renal artery stenosis: epidemiology, clinical manifestation, and percutaneous endovascular therapy.肾动脉狭窄：流行病学、临床表现及经皮血管腔内治疗
J Interv Cardiol. 2005 Dec;18(6):497-506. doi: 10.1111/j.1540-8183.2005.00092.x.
9
Clinical insights into the diagnosis and management of renovascular disease. An evidence-based review.肾血管疾病诊断与管理的临床见解。一项基于证据的综述。
Minerva Med. 2004 Oct;95(5):357-73.