FIBROMUSCULAR DYSPLASIA OF THE RENAL-ARTERY AND ADRENAL ADENOMA IN A 36-YEAR-OLD WOMAN WITH HYPERTENSION

A 36-year-old woman had fibrous dysplasia of the left renal artery and an aldosterone-producing adenoma of the right adrenal gland. The pati ent was evaluated first for secondary hypertension using a renal angio gram that showed fibrous dysplasia with stenosis of the left renal art ery; angioplasty was successful. However, 1 month after angioplasty, h ypertension recurred. Initially, it was thought that it had restenosed but after a negative angiography, adrenal computed tomography showed a 0.8-cm x 1-cm tumor of the right adrenal gland. The tumor was remove d surgically, markedly improving her hypertension.