Renovascular hypertension in small children —is it Takayasu arteritis or fibromuscular dysplasia?

In this issue of the Journal, a child with severe renovascular hypertension is presented. He was diagnosed with Takayasu arteritis (TA) and treated with cyclophosphamide. He also had angioplasty, which successfully improved his blood pressure. In our center, which serves a population of predominantly European descent, most children with renal artery stenosis are diagnosed with fibromuscular dysplasia (FMD).1 The differential diagnosis between TA and FMD is often more difficult than generally acknowledged.

Source: Journal of the American Society of Hypertension - May 9, 2018 Category: Cardiology Authors: Kjell Tullus, Derek J. Roebuck Tags: Commentary Source Type: research