Hashitoxicosis with renal artery stenosis

ABSTRACT

A13 year old Kuwaiti girl who had thyrotoxicosis and hypertension is described. She had Hashitoxicosis [Graves disease and Hashimoto's thyroiditis] as evidenced by the presence of a high titre of antithyroid antibodies in addition to elevated thyroxin level. Subsequent investigations of hypertension disclosed the presence of right focal renal artery stenosis caused by fibromuscular dysplasia. Percutaneous transluminal angioplasty was done and blood pressure fell within 24 hours of the angioplasty and was maintained satisfactorily for 18 months without medication.The association, to our knowledge, between Hashitoxicosis and renal artery stenosis has not previously been reported. It could be an interesting coincidence