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

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

doi:doi:10.11648/j.ijovs.20190403.11

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

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

Published in International Journal of Ophthalmology & Visual Science (Volume 4, Issue 3)

Received: 10 June 2019 Accepted: 23 July 2019 Published: 8 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.

Published in	International Journal of Ophthalmology & Visual Science (Volume 4, Issue 3)
DOI	10.11648/j.ijovs.20190403.11
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), 2019. 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.
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[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.

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APA Style

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://article.sciencepublishinggroup.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
Y1  - 2019/08/08
PY  - 2019
N1  - https://doi.org/10.11648/j.ijovs.20190403.11
DO  - 10.11648/j.ijovs.20190403.11
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 42
EP  - 45
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20190403.11
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
IS  - 3
ER  -

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Author Information

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

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APA Style

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

Copy | Download

@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://article.sciencepublishinggroup.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}
}

Copy | Download

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
Y1  - 2019/08/08
PY  - 2019
N1  - https://doi.org/10.11648/j.ijovs.20190403.11
DO  - 10.11648/j.ijovs.20190403.11
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 42
EP  - 45
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20190403.11
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
IS  - 3
ER  -

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