{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:40:11Z","timestamp":1745761211044,"version":"3.40.4"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,3]]},"abstract":"<jats:p>Renovascular hypertension is one of the common causes of secondary hypertension. Here we report a case of patient of renal artery stenosis presenting to the emergency department as a case of acute flaccid paralysis. Renal artery stenosis has been associated with hypokalaemia, but rarely reported to be symptomatic. Initial correction of hypokalaemia leads to improvement of weakness and aetiological work up for hypokalaemia with hypertension revealed hypokalaemia due to hyperaldosteronism secondary to unilateral renal artery stenosis. The patient was managed medically with aldosterone antagonist in the anti hypertensive therapy and weakness did not recur despite withdrawal of potassium supplements. On follow-up, the patient was ambulatory with no signs of weakness, controlled blood pressure and normal potassium level.<\/jats:p>","DOI":"10.1136\/bcr-2018-225889","type":"journal-article","created":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T08:55:21Z","timestamp":1535705721000},"page":"bcr-2018-225889","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unilateral renal artery stenosis presenting as acute flaccid paralysis: a rare presentation"],"prefix":"10.1136","volume":"2018","author":[{"given":"Pradyumna Kumar","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Rajput","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurav","family":"Banerjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keshav","family":"Garg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,31]]},"reference":[{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.75.882.193"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(92)90048-3"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.3","first-page":"169","article-title":"Renal artery stenosis: epidemiology and treatment","volume":"7","author":"Weber","year":"2014","journal-title":"Int J Nephrol Renovasc Dis"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.4","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2011.0181"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.5","first-page":"S153","article-title":"Cooperative study of renovascular hypertension: current status","volume":"8","author":"Maxwell","year":"1975","journal-title":"Kidney Int Suppl"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.6","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420150106019"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.7","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1097\/HJH.0000000000001243","article-title":"Pathophysiological differences between multifocal fibromuscular dysplasia and atherosclerotic renal artery stenosis","volume":"35","author":"van Twist","year":"2017","journal-title":"J Hypertens"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.8","first-page":"185","article-title":"Occlusion of unilateral stenosed renal arteries\u2013relation to medical treatment","volume":"3","author":"Postma","year":"1989","journal-title":"J Hum Hypertens"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.9","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/0167-5273(95)02541-3","article-title":"ACE inhibitors and unilateral renal artery stenosis\u2013what price?","volume":"53","author":"Kothari","year":"1996","journal-title":"Int J Cardiol"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.10","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31828b82aa"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0905368"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.12","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-12-200906160-00119"},{"key":"2025042706071587000_2018.aug31_1.bcr-2018-225889.13","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1310753"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225889","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:07:25Z","timestamp":1745759245000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225889"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,31]]},"references-count":13,"alternative-id":["10.1136\/bcr-2018-225889"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225889","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,8,31]]}}}