洛美大学朱校区青少年恶性高血压视网膜病变显示双侧肾萎缩

Kassoula Batomaguela Nonon-Saa, Dadjo Amouzou Abbevi Eli Abbey, D. Amouzou, N. Maneh, Adam Nouhou Diori, Isreal Tchodjoou, R. M. Wamba, K. Vonor, K. M. Amedome, K. D. Ayéna, K. Balo
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引用次数: 0

摘要

根据KEITH和WAGENER的说法,恶性高血压被定义为血压严重升高与视网膜病变III期或IV期的关联,现在考虑到中枢神经系统、心脏和肾脏等高贵器官的参与。正是这种发作决定了这种病理的严重程度、紧迫性和重要预后。恶性高血压少见于儿童和青少年,常继发,多数累及肾脏。这是一种治疗紧急情况,因为它有发展为高血压脑病、中风、急性肾衰竭或心力衰竭的风险,所有这些都是其通常的发现模式。我们报告一例恶性高血压在一个青少年没有个人高血压病史。这个报告的奇异之处在于他发现的不寻常模式:孤立的双侧视力障碍。这个临床病例对我们提出了挑战,提醒了我们在眼科会诊时眼底检查的重要性,并告诉我们,为一个孤立的双侧视力下降的青少年进行血压检查并非没有意义。早期认识和治疗恶性高血压是改善这种严重疾病预后的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé
Malignant hypertension, which was defined as the association of a severe elevation of blood pressure with retinopathy stage III or IV according to KEITH and WAGENER, now takes into account the involvement of the noble organs such as central nervous system, heart and kidneys. It is this attack that determines the severity, urgency and vital prognosis of this pathology. Uncommon in children and teenagers, malignant hypertension often secondary, involving kidney in the most cases. It is a therapeutic emergency because it is at risk to progress into hypertensive encephalopathy, stroke, acute renal failure, or heart failure, all of which represent its usual pattern of discovery. We report the case of malignant hypertension in a teenager without personal pass history of hypertension. The singularity of this report case is the uncommon mode of his discovery: isolated bilateral visual impairment. This clinical case challenges us and reminds the interest of the funduscopic examination during ophthalmological consultation, and teaches us that taking the blood pressure of a teenager who consults for an isolated bilateral decrease of vision is not without interest. Early recognition and management of malignant hypertension, are fundamental to any improvement in prognosis of this serious disease.
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