Uncontrolled hypertension: hints from the skin
Autor: | Sudarsanababu Lalitha Soumya, Nitin Kapoor, Thomas V Paul, Kripa Elizabeth Cherian, Jinson Paul, Cijoy K Kuriakose |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
business.industry Renal function General Medicine 030204 cardiovascular system & hematology medicine.disease Trunk 03 medical and health sciences 0302 clinical medicine Blood pressure medicine.anatomical_structure Hypertensive retinopathy Forearm Internal medicine medicine Palpitations Cardiology 030212 general & internal medicine Neurofibromatosis medicine.symptom business Neurofibromatoses |
Zdroj: | Postgraduate medical journal. 95(1126) |
ISSN: | 1469-0756 |
Popis: | A 59-year-old woman presented with 4 months history of paroxysmal episodes of palpitations and headache. She was recently detected to have hypertension and was on two antihypertensive medications. Her blood pressure (BP) at presentation was 160/110 mm Hg and optic fundus showed grade 2 hypertensive retinopathy. She had features of neurofibromatosis-1 (NF-1) (figure 1 showing multiple neurofibromatoses on the posterior aspect of the trunk and figure 2 showing cafe-au-lait macules on forearm). In view of uncontrolled hypertension and findings of NF and cafe-au-lait macules, a possibility of an underlying phaeochromocytoma was considered. Venous sampling was done to assess renal function, serum electrolytes and metabolic profile. The results of these tests … |
Databáze: | OpenAIRE |
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