Volume 4, Issue 3, September 2019, Page: 42-45
Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé
Kassoula Batomaguela Nonon-Saa, Ophthalmology Department, University Hospital Center, Lomé, Togo
Abbevi Eli Abbey, Dadjo Amouzou, Ophthalmology Department, University Hospital Center, Lomé, Togo
Dadjo Amouzou, Ophthalmology Department, University Hospital Center, Lomé, Togo
Nidain Maneh, Ophthalmology Department, University Hospital Center, Lomé, Togo
Adam Nouhou Diori, Ophthalmology Department, University Hospital Center, Lomé, Togo
Isreal Tchodjoou, Ophthalmology Department, University Hospital Center, Lomé, Togo
Regine Mewamba Wamba, Ophthalmology Department, University Hospital Center, Lomé, Togo
Kokou Vonor, Ophthalmology Department, University Hospital Center, Lomé, Togo
Kokou Messan Amedome, Ophthalmology Department, University Hospital Center, Lomé, Togo
Koffi Didier Ayena, Ophthalmology Department, University Hospital Center, Lomé, Togo
Komi Balo, Ophthalmology Department, University Hospital Center, Lomé, Togo
Received: Jun. 10, 2019;       Accepted: Jul. 23, 2019;       Published: Aug. 8, 2019
DOI: 10.11648/j.ijovs.20190403.11      View  100      Downloads  26
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.
Keywords
Malignant Hypertension, Neurorerinitis, Renal Atrophy
To cite this article
Kassoula Batomaguela Nonon-Saa, Abbevi Eli Abbey, Dadjo Amouzou, Dadjo Amouzou, Nidain Maneh, Adam Nouhou Diori, Isreal Tchodjoou, Regine Mewamba Wamba, Kokou Vonor, Kokou Messan Amedome, Koffi Didier Ayena, Komi Balo, Malignant Hypertensive Retinopathy Revealing Bilateral Renal Atrophy in Adolescent at Chu-Campus of Lomé, International Journal of Ophthalmology & Visual Science. Vol. 4, No. 3, 2019, pp. 42-45. doi: 10.11648/j.ijovs.20190403.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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