On clinical examination, her blood pressure was 122/58 mmHg, pulse 53/min, there were no signs suggestive of heart failure and no audible bruits suggestive of fibromuscular dysplasia
. The highly sensitive troponin T was significantly raised (456 ng/L), and an ECG performed in the emergency department revealed a regular sinus rhythm of 78/min, QRS of 70 ms, with axis at +120[degrees], and deep T-wave inversion from V2 to V6, including leads I, II and aVL.
Computed tomography (CT) abnormalities leading to CT-initiated exclusion from kidney donation in 81 patients n Collecting system 41 Renal calculi 39 Ureteropelvic junction obstruction 2 due to crossing vessels Renal vasculature 29 Supernumerary arteries and/or early 20 arterial branching Renal arterial aneurysms 2 Renal vein anomalies 2 Atherosclerotic plaque at the renal arterial ostium 1 Duplicated IVC 1 Fibromuscular dysplasia
1 Polyarteritis nodosa 1 Renal arterio-venous malformation 1 Renal parenchyma 9 Autosomal dominant polycystic kidney disease 3 Renal cell carcinoma 2 Renal scarring 2 Complex renal cyst 1 Segmental renal infarction 1 Extra-renal 2 Pulmonary nodule 2 Katerina Mastrocostas (1); Christina M.
Other causes of CMI include fibromuscular dysplasia
, vasculitis (Takayasu's arteritis, giant cell arteritis, polyarteritis nodosa, systemic lupus erythematosus, and thromboangiitis obliterans), malign tumors, and radiation.
It recently has been referred as an atypical variant of fibromuscular dysplasia
(FMD), with histological feature of abnormal fibrosis and smooth muscle cell hyperplasia in the tunica intima [3,7-11].
Coronary Artery Manifestations of Fibromuscular Dysplasia
. Journal of t h e American college of Cardiology, 2014:64(10); 1033-1046.
There was only one patient diagnosed as fibromuscular dysplasia
presenting with the stenosis of left carotid artery and dissection of left VA, who was treated conservatively, because the medical therapy was effective.
Furthermore, brachial artery stenosis is a rare phenomenon often associated with atherosclerotic disease, giant cell arteritis, fibromuscular dysplasia
, trauma, and crutch related injuries [3, 4].
After negative immunological laboratory tests including anti-neutrophil cytoplasmic antibodies (ANCA), antinuclear antibodies (ANA), and anti-nucleoprotein (RNP-Sm-SSA-SSBScl70-Jo1) antibodies, as well as an abdominal MRI showing no vascular abnormality (no fibromuscular dysplasia
, no vasculitis, and no stenosis), the diagnosis of IC was established and the patient was treated with nonsteroidal anti-inflammatory drugs (NSAIDs).
He was also found to have a beaded-appearing left main renal artery, raising concerns for fibromuscular dysplasia
As an arteriopathy, SAM is similar to inflammatory vasculitis, collagen vascular disease, and fibromuscular dysplasia
(FMD), so excluding these diseases is necessary.
Nearly 18 months after the bite Mrs Bortoft now suffers from lymphodema and fibromuscular dysplasia
in her leg and can only walk short distances.
Although renovascular hypertension is nearly always caused by atherosclerosis or fibromuscular dysplasia
, (1) there have been reports of a wide range of etiologies extrinsic to the renal arteries, (1) including a case of tuberculous retroperitoneal adenopathy that responded to treatment, reversing the hypertension.