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FMD

What is the correct way to diagnose Fibromuscular Dysplasia accurately?
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Avatar_dr_m_tn
Wingnutt,
FMD (fibromuscular dysplasia) is diagnosed using a combination of clinical suspicion based on the patient's presentation as well as with certain imaging modalities that can identify the vascular abnormalities found in this disease.  It depends on the individual center, but hospitals use CTA (computed tomography angiography), MRA (magnetic resonance angiography), duplex ultrasound, or catheter based digital subtraction angiography (DSA) to help diagnose the disorder.  CTA, MRA, and ultrasound are all noninvasive imaging procedures.  DSA requires a catheter to be inserted and injected with contrast to identify the problem (a process also done in cardiac catheterization).  The pathognomic finding is a "string of beads" appearance to the vessels.  Hope that helps.
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