A 29-year-old woman presents with refractory hypertension (BP 168/104 mmHg, HR 92 bpm). She denies smoking, diabetes, and hyperlipidemia. Physical examination reveals no abdominal bruits. Serum creatinine is 0.9 mg/dL. Renal artery duplex ultrasound demonstrates a characteristic "string of beads" appearance of the right renal artery with 60% stenosis. She takes lisinopril and amlodipine without adequate blood pressure control. Which diagnosis best explains these findings?
- A)Aortic coarctation
- B)Polyarteritis nodosa
- C)Atherosclerotic renal artery stenosis
- D)Takayasu arteritis
- E)Fibromuscular dysplasiaGABARITO
Explicação
Fibromuscular dysplasia is a nonatherosclerotic, noninflammatory vascular disease affecting medium sized arteries, commonly the renal arteries, and causes secondary hypertension in younger women. The classic angiographic description is a string of beads appear... Ver explicação completa e trilha adaptativa →