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Grade 4 hypertensive retinopathy in a 13-year-old girl as a serious complication of nephrogenic hypertension

Paediatrics and Family Medicine, 2018-01, Vol.14 (1), p.96-101 [Peer Reviewed Journal]

2018. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 1734-1531 ;EISSN: 2451-0742 ;DOI: 10.15557/PiMR.2018.0010

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  • Title:
    Grade 4 hypertensive retinopathy in a 13-year-old girl as a serious complication of nephrogenic hypertension
  • Author: Rybus-Kalinowska, Barbara ; Teodorowicz-Rachuba, Bogna ; Kalinowski, Mariusz ; Łabuz-Roszak, Beata ; Adamek, Brygida ; Hyla-Klekot, Lidia
  • Subjects: Blood pressure ; Body mass index ; child ; chronic kidney disease ; Edema ; Hypertension ; hypertensive crisis ; hypertensive retinopathy ; Public health ; Veins & arteries
  • Is Part Of: Paediatrics and Family Medicine, 2018-01, Vol.14 (1), p.96-101
  • Description: The paper presents a case of a 13-year-old girl admitted to the Department of Ophthalmology due to bilateral vision deterioration persisting for about one month, who 9 years earlier was diagnosed and irregularly treated for hypertension. Her best-corrected visual acuity was 0.05 for the right and 0.2 for the left eye. Grade 4 hypertensive retinopathy was diagnosed based on the appearance of the fundus of the eye and significantly increased blood pressure (220/130 mm Hg). The girl was urgently referred to the Department of Nephrology for further diagnosis and treatment. Intensive antihypertensive treatment and reduction of blood pressure led to minor improvement in visual acuity. This case report emphasises the significance of periodic blood pressure monitoring in children as well as shows how serious the ophthalmological consequences of untreated hypertension can be.
  • Publisher: Warsaw: Medical Communications Sp. z o.o
  • Language: English;Polish
  • Identifier: ISSN: 1734-1531
    EISSN: 2451-0742
    DOI: 10.15557/PiMR.2018.0010
  • Source: ProQuest Central
    DOAJ Directory of Open Access Journals
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