Fibromuscular Dysplasia ? A Rare Cause of Reno-Vascular Hypertension

Renal artery stenosis (RAS) is associated with increased cardiovascular mortality and morbidity and may constitute a treatable cause of secondary hypertension. Fibromuscular dysplasia is frequently affecting children as the main cause of RAS, but is very rare in adults. We present the case of a 20-year-old female, with no known pathological conditions in her medical history or family background, admitted for severe headache during the past 3 days and sustained increased blood pressure (BP) (maximum BP 220/120 mmHg). The initial clinical exam and first-line imagistic methods did not provide a high suspicion for RAS. However, the invasive methods established the diagnosis of right renal artery medial dysplasia.