Refractory hypertension in a young woman.
A 36-year-old woman was referred for the evaluation of refractory arterial hypertension with vasculorenal profile. Abdominal multislice computed tomography angiography (MSCT-angiography) was performed for further evaluation. Bilateral renal artery involvement was demonstrated with aneurysms, stenotic segments, and a string-of-beads-appearance in the right renal artery. We discuss the occurrence of fibromuscular dysplasia as a cause of refractory hypertension in young women and the increasing importance of MSCT studies for its diagnosis.
Olea-Comas
Isabel
I
Radiology Department, HH, UU Virgen Del Rocío, Ayda Manuel Siurot s/n, Seville, Spain. isaolea@hotmail.com
Domínguez-Pérez
Ángel
Á
Nacarino-Mejías
Verónica
V
Iribarren-Marín
María Alcázar
MA
D000328:Adult; D000792:Angiography / Q000379:methods; D001794:Blood Pressure; D003251:Constriction, Pathologic; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000628:therapy*; D021621:Imaging, Three-Dimensional; D012077:Renal Artery / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods