Malignant Hypertension can give rise to a morphologically distinct 'flea bitten' appearance to kidneys. Malignant hypertension causes thrombosis and necrosis in glomeruli. In addition, arterioles undergo fibrinoid necrosis. Reference: https://www.sciencedirect.com/topics/medicine-and-dentistry/malignant-hypertension Image via: https://www.auanet.org/education/auauniversity/education-products-and-resources/pathology-for-urologists/renovascular-diseases/malignant-hypertension