Diagnostic problems in renal hypertension. A case report

A case of severe hypertension due to fibromuscular dysplasia of the renal artery in a young adult woman is described. Several atypical features (both clinical and biochemical) are presented, and a guideline is suggested for investigations in younger adults with severe hypertension who are unresponsive to adequate drug therapy. Current concepts and features of fibromuscular dysplasia of arterial vessels are discussed.