Pickering syndrome: a rare presentation in emergency department.

Affiliation

Shrimal P(1), Sahu AK(1), Mathew R(2), Bansal A(3).
Author information:
(1)Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India.
(2)Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India [Email]
(3)Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Abstract

Sympathetic crash acute pulmonary edema (SCAPE) is a life-threatening injury, which requires early recognition and intervention to prevent mortality. We present a case of 18-year-old woman with no previous comorbidity, presenting with SCAPE who was successfully resuscitated and eventually diagnosed with renal artery stenosis. Pickering syndrome is a rare cause of hypertensive emergency and should be considered in a young patient presenting with SCAPE in emergency department.