HardNephrologyRenovascular hypertension and ACE inhibitor-induced AKIca-mccqe1ca-rcpsc-im
A 62-year-old man presents with new bilateral leg swelling and rising creatinine after starting an ACE inhibitor 3 weeks ago. His creatinine has increased from 120 µmol/L to 220 µmol/L. Blood pressure is 150/92 mm Hg. Urinalysis shows no haematuria and minimal proteinuria. Duplex ultrasound shows no venous thrombosis. Which diagnosis should be strongly considered?