A 29 year old woman has recurrent headaches and newly diagnosed severe hypertension. She has no history of diabetes. An abdominal bruit is heard on examination. Serum creatinine rises after initiation of an ACE inhibitor. Renal angiography shows a string of beads appearance in the right renal artery. Which of the following is the most likely diagnosis?
- A)Takayasu arteritis
- B)Fibromuscular dysplasiaGABARITO
- C)Renal vein thrombosis
- D)Polyarteritis nodosa
- E)Atherosclerotic renal artery stenosis
Explicação
Fibromuscular dysplasia is correct. Young women with secondary hypertension, an abdominal bruit, and a string of beads appearance of the renal artery have fibromuscular dysplasia. The fall in glomerular filtration after ACE inhibition reflects dependence on an... Ver explicação completa e trilha adaptativa →