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Published on: February 2, 2021
Hypertensive Emergency in a Spontaneous Page Kidney
Asha Meilstrup1, Kyle Clay2, Austin Burkenstock3
1School of Medicine, University of Mississippi Medical Center, Jackson, USA.
Page kidney, a rare cause of hypertension from kidney compression, can lead to severe, resistant cases. This study details a unique patient experiencing hypertensive emergency due to a spontaneous subcapsular renal hematoma causing Page kidney.
Area of Science:
- Nephrology
- Cardiology
- Hypertension Research
Background:
- Page kidney is a rare condition characterized by external renal compression, leading to renin-angiotensin-aldosterone system activation and hypertension.
- Trauma is the most common precipitating factor for Page kidney, often resulting in difficult-to-treat, severe hypertension.
Observation:
- This report details a unique case of a patient presenting with a hypertensive emergency.
- The cause was identified as Page kidney, stemming from a spontaneous subcapsular renal hematoma.
Findings:
- The patient's hypertensive emergency was directly linked to the spontaneous subcapsular renal hematoma.
- This case highlights a non-traumatic etiology for Page kidney, presenting a diagnostic and therapeutic challenge.
Implications:
- Understanding rare causes of hypertensive emergencies is crucial for effective clinical management.
- This case underscores the importance of considering Page kidney in patients with severe, unexplained hypertension, even without a history of trauma.
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