Refractory Hypertension in a Young Woman

• Published in: Urology (Ridgewood, N.J.) Vol. 77; no. 6; pp. 1341 - 1342
• Main Authors: Olea-Comas, Isabel, Domínguez-Pérez, Ángel, Nacarino-Mejías, Verónica, Iribarren-Marín, María Alcázar
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.2011; Elsevier
• Subjects: Adult; Angiography - methods; Arterial hypertension. Arterial hypotension; Biological and medical sciences; Blood and lymphatic vessels; Blood Pressure; Cardiology. Vascular system; Constriction, Pathologic; Female; Fibromuscular Dysplasia - complications; Humans; Hypertension - diagnosis; Hypertension - therapy; Imaging, Three-Dimensional; Medical sciences; Nephrology. Urinary tract diseases; Renal Artery - pathology; Tomography, X-Ray Computed - methods; Urology; Human; Hypertension; Refractory; Nephrology; Treatment resistance; Young adult; Cardiovascular disease; Urology
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2010.04.029

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 artey. 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.