Retinal Detachment in Malignant Hypertension
A 37-year-old woman with no previous medical conditions presented with a 3-day history of headache and blurry vision. Her blood pressure was elevated, at 220/150 mm Hg, and visual acuity in both eyes was such that she could count fingers only and had sluggish pupil reactivity. Retinal examination re...
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Veröffentlicht in: | The New England journal of medicine 2009-08, Vol.361 (9), p.899-899 |
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creator | Tajunisah, Iqbal (Ophthal.), Dinesh Kumar Patel, M.S |
description | A 37-year-old woman with no previous medical conditions presented with a 3-day history of headache and blurry vision. Her blood pressure was elevated, at 220/150 mm Hg, and visual acuity in both eyes was such that she could count fingers only and had sluggish pupil reactivity. Retinal examination revealed bilateral disk swelling with scattered cotton-wool spots (Panel A, arrow) and bilateral inferior serous retinal detachment (Panel B, arrow). Further workup revealed that the patient had renal disease, with a serum creatinine level of 14.9 mg per deciliter (1320 μmol per liter). She was treated with isosorbide dinitrate and amlodipine in . . . |
doi_str_mv | 10.1056/NEJMicm0802683 |
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Her blood pressure was elevated, at 220/150 mm Hg, and visual acuity in both eyes was such that she could count fingers only and had sluggish pupil reactivity. Retinal examination revealed bilateral disk swelling with scattered cotton-wool spots (Panel A, arrow) and bilateral inferior serous retinal detachment (Panel B, arrow). Further workup revealed that the patient had renal disease, with a serum creatinine level of 14.9 mg per deciliter (1320 μmol per liter). She was treated with isosorbide dinitrate and amlodipine in . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMicm0802683</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Cardiology. 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Her blood pressure was elevated, at 220/150 mm Hg, and visual acuity in both eyes was such that she could count fingers only and had sluggish pupil reactivity. Retinal examination revealed bilateral disk swelling with scattered cotton-wool spots (Panel A, arrow) and bilateral inferior serous retinal detachment (Panel B, arrow). Further workup revealed that the patient had renal disease, with a serum creatinine level of 14.9 mg per deciliter (1320 μmol per liter). She was treated with isosorbide dinitrate and amlodipine in . . .</description><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood pressure</subject><subject>Cardiology. Vascular system</subject><subject>Eyes & eyesight</subject><subject>General aspects</subject><subject>Medical sciences</subject><subject>Ophthalmology</subject><subject>Retinopathies</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kM1LAzEQxYMoWKtXz0XQk1snn5s9Sq1WaRVEzyHNJpqym63J9tD_3kiL4MG5DAO_9-bxEDrHMMbAxc3z9GnhTQsSiJD0AA0wp7RgDMQhGgAQWbCyosfoJKUV5MGsGqDrV9v7oJvRne21-Wxt6Ec-jBa68R9B52O2XdvY25B8F07RkdNNsmf7PUTv99O3yayYvzw8Tm7nhWFA-qLCIITLjyWIkllJK84qzVhpicFc83pZ4loTU2MKjMgltY45TJwrjcOiFnSILna-69h9bWzq1arbxJwyKUJohSkRPEPjHWRil1K0Tq2jb3XcKgzqpxD1t5AsuNy76mR046IOxqdfFcFSMk5l5q52XNsmFeyq_c_wG5EeanQ</recordid><startdate>20090827</startdate><enddate>20090827</enddate><creator>Tajunisah, Iqbal</creator><creator>(Ophthal.), Dinesh Kumar Patel, M.S</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20090827</creationdate><title>Retinal Detachment in Malignant Hypertension</title><author>Tajunisah, Iqbal ; (Ophthal.), Dinesh Kumar Patel, M.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-91066f44080674e839549a447e2c15a5db71da2cd130428b3ef4f12ff7cf16d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood pressure</topic><topic>Cardiology. 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subjects | Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood pressure Cardiology. Vascular system Eyes & eyesight General aspects Medical sciences Ophthalmology Retinopathies |
title | Retinal Detachment in Malignant Hypertension |
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