Chanda, 32-yrs-old is found to have BP of 150/100. Workup reveals a small left kidney and a normal-sized right kidney with elevated serum rennin levels. Most likely cause of her hypertension? (AIPG 2011)
|A||Atherosclerotic narrowing of the left renal artery|
|B||Atherosclerotic narrowing of the right renal artery|
|C||Fibromuscular hyperplasia of the left renal artery|
|D||Fibromuscular hyperplasia of the right renal artery|
a. A rare cause of hypertension is renal artery stenosis, which may occur secondary to either an atheromatous plaque at the orifice of the renal artery or fibromuscular dysplasia of the renal artery
b. The former is more common in elderly men, while the latter is more common in young women.
c. The kidney with stenosis of the renal artery becomes small and shrunken.