Fibromuscular dysplasia

• Facts:
  MC in young adults (presents with new onset HTN), also seen in premenopausal women
  Leads to renovascular hypertension secondary to renal artery stenosis
• History / PE:
  Hum/bruit in the costovertebral angle (well developed collaterals)
  Headache, hypertension
  Renal bruit
• Diagnosis:
  "String of beads" pattern to renal artery (angiography)
• Treatment:
  Percutaneous angioplasty and stent placement
• Notes:
  Right renal artery is more affected than the left
• Differential Diagnosis:
  Pheochromocytoma
  Turner's syndrome
  Renal artery stenosis (atherosclerosis)