Refractory hypertension in a young woman

Urology
Isabel Olea-ComasMaría Alcázar Iribarren-Marín

Abstract

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.

References

Mar 22, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·B A UrbanE K Fishman
Apr 30, 2004·The New England Journal of Medicine·David P Slovut, Jeffrey W Olin
Apr 22, 2009·AJR. American Journal of Roentgenology·I-Chen TsaiClayton Chi-Chang Chen

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