Fibromuscular dysplasia: unusual cause of abdominal pain. M Alonso-Alcañiz, JM Antolín, JR Rebolledo, C Muñoz-Montano. Healthcare Department of Ocaña I. Se procede al diagnóstico de angiográfico de displasia fibromuscular y ante la imposibilidad de angioplasia se procede a autotrasplante renal con injerto de. Fibromuscular dysplasia: unusual cause of abdominal pain. Displasia fibromuscular: causa infrecuente de dolor abdominal. M. Alonso-Alcañiz, J.M. Antolín, J.R.

Author: Tygotaxe Yozshum
Country: Tajikistan
Language: English (Spanish)
Genre: Art
Published (Last): 9 February 2004
Pages: 129
PDF File Size: 16.55 Mb
ePub File Size: 14.79 Mb
ISBN: 574-6-14258-842-2
Downloads: 32836
Price: Free* [*Free Regsitration Required]
Uploader: Balkree

Fibromuscular dysplasia – Symptoms and causes – Mayo Clinic

In the legs, symptomatic FMD can be treated with peripheral angioplasty. A genetic component is believed to exist, because the disease affects mainly Caucasians and is associated with the HLA-DRw6 histocompatibility antigen.

The prevalence of FMD is not known and, although the disease was initially thought to be rare, recent studies have suggested that it may be underdiagnosed. FMD is classified according to the arterial wall layer primarily affected as follows: The anterior branch of the left main renal artery presented an impaired repletion which caused a significant reduction of its disppasia with apparent patency of distal branches; proximal to the repletion defect there seemed to be a double-lumen, thus the results were compatible with partially thrombosed focal dissection.

Catheter Cardiovasc Interv ;73 4: Marks SD, Tullus K. Fibromuscular dysplasia care at Mayo Clinic.

Fibromuscular Dysplasia (FMD)

Symptoms are commonly associated with the artery being affected. FMD can manifest as a systemic vascular disease, mimicking vasculitis. FMD of the tibial and fibular arteries has similar symptoms to those of atherosclerosis in the lower limbs.


In fibromuscular dysplasia, the muscle gibromuscular fibrous tissues in your arteries thicken, causing the arteries to narrow. Marsal MachinM. Both vasculitis and FMD can have a severe clinical course, but require different treatments; thus, it is important to recognize the limitations of angiography in the diagnosis of such diseases.

The involvement of other arteries can remain asymptomatic. The most common presentation of Fibromuscular Dysplasia is Hypertension 1.

Displasia fibromuscular: causa infrecuente de dolor abdominal

This page was last edited on 4 Octoberat Cerebrovascular symptoms, resulting from FMD of the carotid artery, and arterial hypertension secondary displasiaa FMD of the renal artery are the most common manifestations. However, those who present with FMD in multiple vascular beds, or focal disease involving multiple branches of the renal arteries may develop renal artery dissection [12] or progressive renal impairment.

Surgical revascularization may be necessary if aneurysms develop within the affected artery or if PTA does not resolve the issue. In addition, fibrokuscular deformities, scoliosis, or kyphosis can occur.

This can cause the arteries with the abnormal growth to look beaded. Spontaneous renal artery dissection SRAD associated with Fibromuscular dysplasia is a rare entity whose clinical presentation usually suggests nephrolithiasis 2 and requires the performance of conventional angiography or computed tomography CT angiography 2thus its diagnosis is usually delayed.

Therefore, having a more difficult and complex prognostic course. In this case, there is severe narrowing of the artery, and the patient was treated with balloon angioplasty.

Fibromuscular dysplasia and coronary heart disease. Curr Opin Rheumatol ;12 1: The carotid and vertebral fibromsucular are most commonly affected. Children with FMD often report various non-specific symptoms or present with hypertension during routine physical examinations.


The female predominance and frequent discovery during pregnancy suggest that estrogen plays a role in the pathogenesis of FMD. The carotid arteries are in the neck and connect the heart and the brain.

Fibromuscular dysplasia FMD is a non- atheroscleroticnon-inflammatory disease of the blood vessels that causes abnormal growth within the wall of an artery. Mankad R expert opinion. Although this is not a frequent site of FMD, in the presence of aneurysms it is always a differential diagnosis.

Fibromuscular dysplasia

In cases of renal stenosis and indications for intervention, percutaneous balloon angioplasty may be recommended. Are you a health professional able to prescribe or dispense drugs? There were five different types of FMD — medial fibroplasia, intimal fibroplasia, perimedial fibroplasia, medial hyperplasia, and periarterial hyperplasia.

Focal fibroplasia is described as long, narrow, irregular or smooth focal stenosis and can occur in any arterial bed.

Anticardiolipin antibodies ACA are a class of acquired immunoglobulins that bind to a fibbromuscular of anionic phospholipids and represent a subset of antiendothelial autoantibodies. Fibromuscular dysplasia FMD is a rare medical condition. Systemic fibromuscular dysplasia masquerading as polyarteritis nodosa.

It is not a frequent cause of abdominal pain 2which is why diagnosis is often late.