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[Clinical Picture] Kidneys are key in secondary hypertension: a case of fibromuscular dysplasia

A 29-year-old woman was referred to our renal clinic because of pain in her right flank and severe hypertension; her blood pressure was more than 180/110 mm Hg. She was diagnosed as having treatment-resistant-hypertension because her blood pressure remained high at 157/105 mm Hg despite being treated with three antihypertensive drugs, including a diuretic, at maximum doses. 24-h ambulatory monitoring showed increased daytime and nocturnal (non-dipper pattern) blood pressures. She had no history of previous medical difficulties.