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Refractory hypertension in a young woman
Isabel Olea-Comas1, Ángel Domínguez-Pérez, Verónica Nacarino-Mejías
1Radiology Department, HH, UU Virgen Del Rocío, Ayda Manuel Siurot s/n, Seville, Spain. isaolea@hotmail.com
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.
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