In pediatrics, the most prevalent form of FMD is focal fibroplasia. Focal fibroplasia is described as long, narrow, irregular or smooth focal stenosis and can occur in any arterial bed. Whilst it is the most common type amongst children, it only accounts for approximately 10% of FMD cases overall.[1] It most often presents with ischemic symptoms, and frequently mistaken for Takayasu arteritis.[9] (previously known as intimal)