Published in:
01-09-2009 | Letter to the Editor
Reply to Letter from Pellerin et al.
Re: Doody O, Adam WR, Foley PT, Lyon SM (2009). Fibromuscular Dysplasia Presenting with Bilateral Renal Infarction. Cardiovasc Intervent Radiol 32:329–332
Authors:
O. Doody, P. T. Foley, S. M. Lyon
Published in:
CardioVascular and Interventional Radiology
|
Issue 5/2009
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Excerpt
We are grateful to these investigators for their interest in our case and compliment them on their enthusiasm. However, the terminology they use is inexact and changes throughout the text between spontaneous renal artery dissection (SRAD) and dissecting aneurysm. These investigators assert that a clinical triad of acute lumbar pain, hypertension, and microscopic haematuria comprises the presenting manifestation of renal artery dissection. This triad is of course produced by renal infarction regardless of cause and is in no way specific for dissection [
1,
2]. In fact, it is even less specific than this, and the same triad may be seen in cases of urolithiasis, infection, and, occasionally, renal cell carcinoma. …