This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Cardiovascular system, Subject name: Pathology
Hyperplastic aeriolitis with necrotizing aeriolitisis seen in? 
Select and explain. 
A. Wegner's granulomatosis, B. Benign hypeension, C. Buerger's disease, D. Malignant hypeension
D: Malignant hypeension
Answer: D: Malignant hypeension 
Explanation: Hyperplastic aeriolosclerosis is more typical of severe hypeension. Vessels exhibit "onion skin" ."concentric, laminated thickening of aeriolar walls and luminal narrowing . The lamination consists of smooth muscle cells and thickened , re duplicated basement membrane . In malignant hypeension these changes are accompnied by fibrinoid deposits and vessels wall necrosis . Prominent in kidney Robbins 9th edition page no. 334