International Journal of Ophthalmology & Visual Science

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Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé

Received: 10 June 2019    Accepted: 23 July 2019    Published: 08 August 2019
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Abstract

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.

DOI 10.11648/j.ijovs.20190403.11
Published in International Journal of Ophthalmology & Visual Science (Volume 4, Issue 3, September 2019)
Page(s) 42-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Malignant Hypertension, Neurorerinitis, Renal Atrophy

References
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[2] Gifford RW. Management of hypertensive crisis. Jama. 1991 Aug 14; 266 (6): 829-35.
[3] Keith NM, Wagener HP, Barker NW. SOME DIFFERENT TYPES OF ESSENTIAL HYPERTENSION: THEIR COURSE AND PROGNOSIS: Am J Med Sci. 1974 dec; 268 (6): 336-45.
[4] Cremer A, Amraoui F, Lip GYH, Morales E, Rubin S, Segura J, et al. From malignant hypertension to hypertension-MOD: a modern definition for an old but still dangerous emergency. J Hum Hypertens. 2016 Aug; 30 (8): 463-6.
[5] Leitão A, Fernandes S, Guimarães Dinis J, Melo e Sousa A, Sousa A. [Hypertensive crisis in adolescence... what is it?]. Acta Med Port. déc 2011; 24 Suppl 3: 653-6.
[6] Joseph T. Flynn & Kjell Tullus. Severe hypertension in children and adolescents: Pathophysiology and treatment Pediatr Nephrol. 2009; 24: 1101–1112.
[7] Seeman T, Hamdani G, Mitsnefes M. Hypertensive crisis in children and adolescents. Pediatr Nephrol Berl Ger. 2018 oct 1.
[8] El haddad S, Benchekroun N, Rhafour A, Ahbeddou S, Rhafour I, Imdary I, et al. Bilateral stellate neuroretinitis as presenting sign of pheochromocytoma. J Fr Ophtalmol. 2013 sep; 36 (7): 600-3.
[9] Gonzalez R, Morales E, Segura J, Ruilope LM, Praga M. Long-term renal survival in malignant hypertension. Nephrol Dial Transplant 2010; 25: 3266–3272.
[10] Bender SR, Fong MW, Heitz S, Bisognano JD. Characteristics and Management of Patients Presenting to the Emergency Department With Hypertensive Urgency. J Clin Hypertens. 2006 Jan; 8 (1): 12-8.
[11] Lam B, Shah V, Zlotcavitch L, Herro A, Dubovy S, Yehoshua Z. Bilateral papillopathy as a presenting sign of pheochromocytoma associated with von Hippel– Lindau disease. Clin Ophthalmol. 2014 Mar; 623.
[12] Belsha CW. Pediatric Hypertension in the Emergency Department. Ann Emerg Med. 2008 Mar; 51 (3): S21-3.
[13] Maweni RM, Sunderland N, Rahim Z, Odih E, Kallampallil J, Saunders T, et al. Clinical characteristics of Black patients with hypertensive urgency. Ir J Med Sci 1971 – 2018 nov; 187 (4): 1089-96.
[14] Kota SK, Kota SK, Meher LK, Sruti J, Kotni G, Panda S, et al. Clinical analysis of hypertension in children: an urban Indian study. Saudi J Kidney Dis Transplant off Publ Saudi Cent Organ Transplant Saudi Arab. 2013 Jul; 24 (4): 844-52.
[15] Webb TN, Shatat IF, Miyashita Y. Therapy of Acute Hypertension in Hospitalized Children and Adolescents. Curr Hypertens Rep [Internet]. 2014 avr [cité 8 Jul 2019]; 16 (4).
[16] Lurbe E, Agabiti-Rosei E, Cruickshank JK, Dominiczak A, Erdine S, Hirth A, et al. 2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. J Hypertens. 2016; 34 (10): 1887-920.
Author Information
  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

  • Ophthalmology Department, University Hospital Center, Lomé, Togo

Cite This Article
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    Kassoula Batomaguela Nonon-Saa, Abbevi Eli Abbey, Dadjo Amouzou, Dadjo Amouzou, Nidain Maneh, et al. (2019). Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé. International Journal of Ophthalmology & Visual Science, 4(3), 42-45. https://doi.org/10.11648/j.ijovs.20190403.11

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    ACS Style

    Kassoula Batomaguela Nonon-Saa; Abbevi Eli Abbey; Dadjo Amouzou; Dadjo Amouzou; Nidain Maneh, et al. Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé. Int. J. Ophthalmol. Vis. Sci. 2019, 4(3), 42-45. doi: 10.11648/j.ijovs.20190403.11

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    AMA Style

    Kassoula Batomaguela Nonon-Saa, Abbevi Eli Abbey, Dadjo Amouzou, Dadjo Amouzou, Nidain Maneh, et al. Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé. Int J Ophthalmol Vis Sci. 2019;4(3):42-45. doi: 10.11648/j.ijovs.20190403.11

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  • @article{10.11648/j.ijovs.20190403.11,
      author = {Kassoula Batomaguela Nonon-Saa and Abbevi Eli Abbey and Dadjo Amouzou and Dadjo Amouzou and Nidain Maneh and Adam Nouhou Diori and Isreal Tchodjoou and Regine Mewamba Wamba and Kokou Vonor and Kokou Messan Amedome and Koffi Didier Ayena and Komi Balo},
      title = {Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {4},
      number = {3},
      pages = {42-45},
      doi = {10.11648/j.ijovs.20190403.11},
      url = {https://doi.org/10.11648/j.ijovs.20190403.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijovs.20190403.11},
      abstract = {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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé
    AU  - Kassoula Batomaguela Nonon-Saa
    AU  - Abbevi Eli Abbey
    AU  - Dadjo Amouzou
    AU  - Dadjo Amouzou
    AU  - Nidain Maneh
    AU  - Adam Nouhou Diori
    AU  - Isreal Tchodjoou
    AU  - Regine Mewamba Wamba
    AU  - Kokou Vonor
    AU  - Kokou Messan Amedome
    AU  - Koffi Didier Ayena
    AU  - Komi Balo
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    DO  - 10.11648/j.ijovs.20190403.11
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    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
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    PB  - Science Publishing Group
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    AB  - 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.
    VL  - 4
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