有时恶性高血压小动脉和细动脉的病变也是非常严重的。如图肾细小动脉呈现伴有粉红色的纤维素样物质形成的坏死（纤维素样坏死）。
Sometimes the small arteries and arterioles can be damaged so severely in malignant hypertension that they demonstrate necrosis with a pink fibrin-like quality that gives this process its name--fibrinoid necrosis.